冠状动脉旁路移植术后冠状动脉痉挛。采用冠状动脉内注射硝酸异山梨酯，随后静脉滴注硝苯地平进行治疗。

Coronary artery spasm following coronary artery bypass grafting. Treatment with intracoronary ISDN followed by systemic intravenous nifedipine infusion.

作者信息

Zaiac M, Renzulli A, Hilton C J

机构信息

Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne, UK.

出版信息

Eur J Cardiothorac Surg. 1990;4(2):109-11. doi: 10.1016/1010-7940(90)90226-p.

DOI:10.1016/1010-7940(90)90226-p

PMID:2331385

Abstract

Coronary artery spasm following coronary artery bypass grafting (CABG) has been described previously. The cause and underlying risk factors are mainly speculative and treatment therefore symptomatic. We present the successful management of this condition by administration of an intravenous Nifedipine infusion after intracoronary Isosorbide dinitrate (ISDN) had failed to relieve the spasm.

摘要

冠状动脉旁路移植术（CABG）后发生冠状动脉痉挛此前已有报道。其病因及潜在危险因素主要为推测性的，因此治疗以对症为主。我们报告了在冠状动脉内注射硝酸异山梨酯（ISDN）未能缓解痉挛后，通过静脉输注硝苯地平成功治疗该病症的情况。