• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

变异性心绞痛中ST段抬高幅度的波动：两例病例报告。

Fluctuations in the amplitude of ST-segment elevation in vasospastic angina: Two case reports.

作者信息

Hung Ming-Jui

机构信息

Section of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, Chang Gung University College of Medicine, Keelung City, Taiwan.

出版信息

Medicine (Baltimore). 2017 Mar;96(11):e6334. doi: 10.1097/MD.0000000000006334.

DOI:10.1097/MD.0000000000006334
PMID:28296760
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5369915/
Abstract

RATIONALE

ST-segment elevation localizes an ischemic lesion to the coronary artery supplying the area of the myocardium reflected by the electrocardiographic leads. Dynamic ST-segment elevation can be due to severe transmural ischemia secondary to a thrombus, vasospasm, or a tightly fixed coronary artery lesion or a combination of these situations.

PATIENT CONCERNS

In this study, we report on two patients with angina who had fluctuations in ST-segment amplitude on serial electrocardiograms. The amplitude of ST-segment elevation varied between 1-20 mm.

DIAGNOSES

Vasospastic angina (VSA) was diagnosed based on electrocardiography and coronary angiography.

INTERVENTIONS

Calcium antagonists were prescribed for both patients.

OUTCOMES

No recurrent VSA was noted during outpatient follow-up.

LESSONS

VSA can be associated with fluctuations in the amplitude of ST-segment elevation, indicating dynamic coronary vasospasm in different locations and extensions in patients with VSA.

摘要

理论依据

ST段抬高将缺血性病变定位至供应心电图导联所反映心肌区域的冠状动脉。动态ST段抬高可能是由于血栓、血管痉挛或紧密固定的冠状动脉病变继发的严重透壁性缺血，或这些情况的组合。

患者情况

在本研究中，我们报告了两名心绞痛患者，其连续心电图上ST段振幅有波动。ST段抬高幅度在1至20毫米之间变化。

诊断

根据心电图和冠状动脉造影诊断为变异性心绞痛（VSA）。

干预措施

给两名患者均开了钙拮抗剂。

结果

门诊随访期间未发现复发性VSA。

经验教训

VSA可能与ST段抬高幅度的波动有关，提示VSA患者存在不同部位和范围的动态冠状动脉痉挛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/5369915/2b8cbeaeedb4/medi-96-e6334-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/5369915/adac7ab7906e/medi-96-e6334-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/5369915/07d0992db3bd/medi-96-e6334-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/5369915/2b8cbeaeedb4/medi-96-e6334-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/5369915/adac7ab7906e/medi-96-e6334-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/5369915/07d0992db3bd/medi-96-e6334-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/5369915/2b8cbeaeedb4/medi-96-e6334-g003.jpg

相似文献

1
Fluctuations in the amplitude of ST-segment elevation in vasospastic angina: Two case reports.变异性心绞痛中ST段抬高幅度的波动：两例病例报告。
Medicine (Baltimore). 2017 Mar;96(11):e6334. doi: 10.1097/MD.0000000000006334.
2
The effect of coronary vasospasm on the direction of ST-segment deviation in patients with both hypertrophic cardiomyopathy and vasospastic angina.肥厚型心肌病合并血管痉挛性心绞痛患者中冠状动脉痉挛对ST段偏移方向的影响。
Chest. 2000 May;117(5):1300-8. doi: 10.1378/chest.117.5.1300.
3
Alternate coronary artery spasm with ST-segment "seesaw" phenomenon in variant angina.变异型心绞痛中交替性冠状动脉痉挛伴ST段“跷跷板”现象
Jpn Circ J. 1993 Mar;57(3):167-74. doi: 10.1253/jcj.57.167.
4
Pharmacotherapy of Vasospastic Angina.变异性心绞痛的药物治疗
J Cardiovasc Pharmacol Ther. 2016 Sep;21(5):439-51. doi: 10.1177/1074248416640161. Epub 2016 Apr 13.
5
[Up-date of the diagnosis and treatment of vasospastic angina].[变异性心绞痛的诊断与治疗进展]
Rev Clin Esp. 2008 Feb;208(2):94-6. doi: 10.1157/13115206.
6
[Clinical aspects and classification of unstable angina].[不稳定型心绞痛的临床特点与分类]
Praxis (Bern 1994). 1995 Feb 7;84(6):167-72.
7
Autonomic changes associated with spontaneous coronary spasm in patients with variant angina.变异型心绞痛患者中与自发性冠状动脉痉挛相关的自主神经变化。
J Am Coll Cardiol. 1996 Nov 1;28(5):1249-56. doi: 10.1016/S0735-1097(96)00309-9.
8
Early repolarization in the inferolateral leads predicts the presence of vasospastic angina: a novel predictor in patients with resting angina.下壁导联的早期复极预示着存在痉挛性心绞痛：静息性心绞痛患者的一个新的预测指标。
Coron Artery Dis. 2021 Jun 1;32(4):309-316. doi: 10.1097/MCA.0000000000000983.
9
[Prinzmetal's angina].[变异型心绞痛]
Kardiol Pol. 2006 Aug;64(8):901-2; discussion 903.
10
Prompt relief of vasospastic angina by calcium antagonists.钙拮抗剂可迅速缓解血管痉挛性心绞痛。
Int J Clin Pharmacol Ther Toxicol. 1987 Apr;25(4):175-7.

本文引用的文献

1
Incidence and Risk Factors Associated With Hospitalization for Variant Angina in Korea.韩国变异型心绞痛住院治疗的发病率及相关危险因素。
Medicine (Baltimore). 2016 Mar;95(13):e3237. doi: 10.1097/MD.0000000000003237.
2
The Who, What, Why, When, How and Where of Vasospastic Angina.变异性心绞痛的何人、何事、为何、何时、如何及何地
Circ J. 2016;80(2):289-98. doi: 10.1253/circj.CJ-15-1202. Epub 2015 Dec 18.
3
Survived out-of-hospital cardiac arrest due to coronary vasospasm.
Int J Cardiol. 2016 Feb 1;204:51-3. doi: 10.1016/j.ijcard.2015.11.175. Epub 2015 Nov 24.
4
Impact of Asthma on the Development of Coronary Vasospastic Angina: A Population-Based Cohort Study.哮喘对冠状动脉痉挛性心绞痛发生发展的影响：一项基于人群的队列研究。
Medicine (Baltimore). 2015 Oct;94(42):e1880. doi: 10.1097/MD.0000000000001880.
5
OCT-Defined Morphological Characteristics of Coronary Artery Spasm Sites in Vasospastic Angina.OCT 定义的血管痉挛性心绞痛中冠状动脉痉挛部位的形态学特征。
JACC Cardiovasc Imaging. 2015 Sep;8(9):1059-1067. doi: 10.1016/j.jcmg.2015.03.010. Epub 2015 Aug 19.
6
International standardization of diagnostic criteria for vasospastic angina.血管痉挛性心绞痛诊断标准的国际化。
Eur Heart J. 2017 Sep 1;38(33):2565-2568. doi: 10.1093/eurheartj/ehv351.
7
Structural and Functional Coronary Artery Abnormalities in Patients With Vasospastic Angina Pectoris.变异性心绞痛患者的冠状动脉结构和功能异常
Circ J. 2015;79(7):1431-8. doi: 10.1253/circj.CJ-15-0520. Epub 2015 Jun 18.
8
Increased Numbers of Coronary Events in Winter and Spring Due to Coronary Artery Spasm: Effect of Age, Sex, Smoking, and Inflammation.
J Am Coll Cardiol. 2015 May 12;65(18):2047-8. doi: 10.1016/j.jacc.2015.02.060.
9
Guidelines for diagnosis and treatment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013).变异性心绞痛（冠状动脉痉挛性心绞痛）患者的诊断和治疗指南（日本循环学会2013年版）
Circ J. 2014;78(11):2779-801. doi: 10.1253/circj.cj-66-0098. Epub 2014 Sep 30.
10
Coronary artery spasm: review and update.冠状动脉痉挛：综述与更新
Int J Med Sci. 2014 Aug 28;11(11):1161-71. doi: 10.7150/ijms.9623. eCollection 2014.