MacAlpin Rex N
Division of Cardiology, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Int J Cardiol. 2015 Feb 15;181:389-98. doi: 10.1016/j.ijcard.2014.12.047. Epub 2014 Dec 23.
The pathogenesis, clinical features, diagnosis, and treatment of spasm of epicardial coronary arteries are reviewed briefly, especially with regard to some issues that remain controversial. For diagnosis, emphasis is placed on the need for objective observations during an attack, even if that requires an attempt at pharmacologic provocation during coronary arteriography, or during echocardiography when prior arteriography has demonstrated the absence of severe coronary stenosis.
本文简要回顾了心外膜冠状动脉痉挛的发病机制、临床特征、诊断及治疗，尤其关注了一些仍存在争议的问题。对于诊断，重点强调在发作期间进行客观观察的必要性，即便这需要在冠状动脉造影期间尝试进行药物激发试验，或者在先前行血管造影已证实不存在严重冠状动脉狭窄的情况下，在超声心动图检查期间进行药物激发试验。
