[变异型心绞痛诱发的高度房室传导阻滞]

[High-degree atrioventricular block induced by Prinzmetal angina].

作者信息

Ferreira Filipa, Cardona Lorette, Valente Bruno, Abreu João, Antunes Eduardo, Ferreira Lurdes, Oliveira José Alberto, Ferreira Rui

机构信息

Serviço de Cardiologia, Hospital de Santa Marta, Centro Hospitalar Lisboa Central, Lisboa, Portugal.

出版信息

Rev Port Cardiol. 2012 Mar;31(3):233-5. doi: 10.1016/j.repc.2012.01.001.

DOI:10.1016/j.repc.2012.01.001

PMID:22336570

Abstract

We present the case of a 46-year-old woman with episodes of chest pain with ST-T segment elevation and paroxysmal high-degree atrioventricular block and syncopal episodes. Coronary angiography revealed no significant atheromatous lesions. The patient was treated with nitrates and calcium channel blockers but syncopal episodes with atrioventricular block persisted. A DDD-R pacemaker was implanted and four-month follow-up was uneventful.

摘要

我们报告了一名46岁女性的病例，她有胸痛伴ST-T段抬高、阵发性高度房室传导阻滞及晕厥发作。冠状动脉造影显示无明显动脉粥样硬化病变。患者接受了硝酸盐类药物和钙通道阻滞剂治疗，但房室传导阻滞所致的晕厥发作仍持续存在。植入了DDD-R起搏器，四个月的随访无异常情况。