Oskui Peyman Mesbah, Mayeda Guy S, Burstein Steven, Gheissari Ali, French William J, Thomas Joseph, Kloner Robert A
Department of Cardiology, Harbor-UCLA Medical Center, Torrance, CA, USA; Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA.
Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA; Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
SAGE Open Med Case Rep. 2014 Mar 4;2:2050313X14526873. doi: 10.1177/2050313X14526873. eCollection 2014.
We report the case of a 59-year-old woman who presented with symptoms of angina that was refractory to medical management. Although her cardiac catheterization revealed microvascular coronary artery disease, her symptoms were refractory to optimal medical management that included ranolazine. After undergoing transmyocardial revascularization, her myocardial ischemia completely resolved and her symptoms dramatically improved. This case suggests that combination of ranolazine and transmyocardial revascularization can be applied to patients with microvascular coronary artery disease.
我们报告了一例59岁女性患者,其心绞痛症状对药物治疗无效。尽管她的心脏导管检查显示为微血管性冠状动脉疾病,但她的症状对包括雷诺嗪在内的最佳药物治疗仍无反应。在接受经心肌血管重建术后,她的心肌缺血完全缓解,症状显著改善。该病例提示,雷诺嗪与经心肌血管重建术联合应用可用于微血管性冠状动脉疾病患者。