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近正常冠状动脉的运动诱发冠状动脉痉挛

Exercised-induced coronary spasm in near normal coronary arteries.

作者信息

Franzen Damian, Benzing Thomas

机构信息

Praxis für Herz und Lungenkrankheiten, Berrenratherstr. 296, 50937 Köln, Germany.

出版信息

Int J Vasc Med. 2010;2010:207479. doi: 10.1155/2010/207479. Epub 2010 Jun 17.

DOI:10.1155/2010/207479
PMID:21152189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2990100/
Abstract

In contrast to effort-induced symptoms in obstructive coronary disease, spasm in normal coronary arteries is characterized by angina at rest. We describe a 44-year-old patient with minor coronary plaques and pure exercised-induced coronary spasm. The case questions the differential pathogenic considerations of variant of the variant as opposed to Prinzmetal's variant angina.

摘要

与阻塞性冠状动脉疾病中劳力诱发的症状不同，正常冠状动脉痉挛的特点是静息性心绞痛。我们描述了一名44岁患有轻度冠状动脉斑块且仅有运动诱发冠状动脉痉挛的患者。该病例对变异型变异型与变异型心绞痛（普林兹金属变异型心绞痛）的不同致病因素考量提出了质疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/3717448974a5/IJVM2010-207479.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/f888429ca181/IJVM2010-207479.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/1176c48288e2/IJVM2010-207479.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/a8cd197bdda7/IJVM2010-207479.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/228feacb28d4/IJVM2010-207479.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/9fd3d3e20f37/IJVM2010-207479.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/3717448974a5/IJVM2010-207479.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/f888429ca181/IJVM2010-207479.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/1176c48288e2/IJVM2010-207479.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/a8cd197bdda7/IJVM2010-207479.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/228feacb28d4/IJVM2010-207479.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/9fd3d3e20f37/IJVM2010-207479.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/809c/2990100/3717448974a5/IJVM2010-207479.006.jpg

相似文献

1
Exercised-induced coronary spasm in near normal coronary arteries.近正常冠状动脉的运动诱发冠状动脉痉挛
Int J Vasc Med. 2010;2010:207479. doi: 10.1155/2010/207479. Epub 2010 Jun 17.
2
Coronary spasm: Prinzmetal's variant angina vs. catheter-induced spasm; refractory spasm vs. fixed stenosis.冠状动脉痉挛：变异型心绞痛与导管诱导性痉挛；难治性痉挛与固定性狭窄。
AJR Am J Roentgenol. 1979 Jun;132(6):897-904. doi: 10.2214/ajr.132.6.897.
3
Arteriographic demonstration of spontaneous right coronary artery spasm in a patient with Prinzmetal's angina.一例变异型心绞痛患者自发性右冠状动脉痉挛的血管造影显示
AJR Am J Roentgenol. 1979 Jun;132(6):905-7. doi: 10.2214/ajr.132.6.905.
4
Treatment of Prinzmetal's variant angina. Role of medical treatment with nifedipine and surgical coronary revascularization combined with plexectomy.变异型心绞痛的治疗。硝苯地平药物治疗及冠状动脉血运重建联合神经丛切除术的作用。
Am J Cardiol. 1981 Jan;47(1):174-8. doi: 10.1016/0002-9149(81)90306-4.
5
Use of provocative testing in angina pectoris.激发试验在心绞痛中的应用。
Herz. 1980 Apr;5(2):65-71.
6
Provocation of coronary spasm with ergonovine maleate. New test with results in 57 patients undergoing coronary arteriography.用马来酸麦角新碱激发冠状动脉痉挛。对57例接受冠状动脉造影的患者进行的新试验及结果。
Am J Cardiol. 1977 Oct;40(4):487-91. doi: 10.1016/0002-9149(77)90060-1.
7
Increased QT dispersion in patients with Prinzmetal's variant angina and cardiac arrest.变异型心绞痛和心脏骤停患者QT离散度增加。
Cardiovasc Res. 2001 May;50(2):379-85. doi: 10.1016/s0008-6363(00)00290-x.
8
Treatment of Prinzmetal's angina due to coronary artery spasm using verapamil: a report of three cases.使用维拉帕米治疗冠状动脉痉挛所致变异型心绞痛：三例报告
Eur J Cardiol. 1978 Jun;7(4):327-35.
9
[Prinzmetal's variant angina: a case report].[变异型心绞痛病例报告]
Schweiz Rundsch Med Prax. 1994 May 10;83(19):579-82.
10
Prinzmetal's variant angina: three case reports and a review of the literature.变异型心绞痛：三例病例报告及文献综述
Acta Cardiol. 1999 Apr;54(2):71-6.

本文引用的文献

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Plaque components at coronary sites with focal spasm in patients with variant angina: virtual histology-intravascular ultrasound analysis.变异性心绞痛患者冠状动脉局灶性痉挛部位的斑块成分：虚拟组织学-血管内超声分析。
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Ergonovine test for coronary artery spasm.
用于冠状动脉痉挛的麦角新碱试验。
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Ergonovine test in angina with normal coronary arteries. Is it worth doing it?冠状动脉正常的心绞痛患者的麦角新碱试验。做这个试验值得吗？
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Variant angina of Prinzmetal with normal coronary arteriograms. A variant of the variant.
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Vasotonic myocardial ischemia.血管张力性心肌缺血
Am Heart J. 1991 Dec;122(6):1701-22. doi: 10.1016/0002-8703(91)90289-t.
9
Prinzmetal's variant form of angina as a manifestation of alpha-adrenergic receptor-mediated coronary artery spasm: documentation by coronary arteriography.普林兹金属变异型心绞痛作为α-肾上腺素能受体介导的冠状动脉痉挛的一种表现：经冠状动脉造影证实
Am Heart J. 1976 Feb;91(2):148-55. doi: 10.1016/s0002-8703(76)80568-6.
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"Variant" angina: one aspect of a continuous spectrum of vasospastic myocardial ischemia. Pathogenetic mechanisms, estimated incidence and clinical and coronary arteriographic findings in 138 patients.“变异型”心绞痛：血管痉挛性心肌缺血连续谱的一个方面。138例患者的发病机制、估计发病率以及临床和冠状动脉造影结果
Am J Cardiol. 1978 Dec;42(6):1019-35. doi: 10.1016/0002-9149(78)90691-4.