Scardi S, Zingone B, Pandullo C
Department of Cardiology, Ospedale Maggiore, Trieste, Italy.
Int J Cardiol. 1990 Mar;26(3):378-9. doi: 10.1016/0167-5273(90)90100-j.
A 78-year-old with healed septal necrosis suffered a recurrent myocardial infarction of the anterior wall following the administration of isosorbide dinitrate 5 mg sublingually. After detailing the course of events, we discuss the role of paradoxical coronary spasm and hypotension-mediated myocardial ischemia occurring downstream to significant coronary arterial stenosis in the pathophysiology of acute coronary insufficiency.
一名78岁患有已愈合的中隔坏死的患者，在舌下含服5毫克硝酸异山梨酯后发生了前壁复发性心肌梗死。在详述事件经过后，我们讨论了矛盾性冠状动脉痉挛以及在严重冠状动脉狭窄下游发生的低血压介导的心肌缺血在急性冠状动脉功能不全病理生理学中的作用。
