Öztürk Semi, Aktemur Tuğba, Kalyoncuoğlu Muhsin, Durmuş Gündüz, Can Mehmet
Department of Cardiology, Haseki Training and Research Hospital, İstanbul, Turkey.
Turk Kardiyol Dern Ars. 2017 Apr;45(3):271-274. doi: 10.5543/tkda.2016.55874.
A 52-year-old man complaining of persistent recurring chest pain at night underwent coronary angiogram at another institution. Normal coronaries were observed and he was discharged with muscle spasmolytic prescription. Since symptoms had continued, 24-hour Holter monitoring was ordered at our facility and results revealed huge ST elevation and polymorphic ventricular tachycardia. Cold pressor test performed in catheterization laboratory also resulted in ventricular tachycardia. Nifedipine was prescribed and follow-up Holter monitoring revealed no further vasospastic episodes. Utility of 24-hour Holter rhythm monitoring and cold pressor test in patients with recurrent chest pain at night is demonstrated in this report.
一名52岁男性因夜间持续性反复胸痛在另一家机构接受了冠状动脉造影。冠状动脉正常，他出院时开具了肌肉解痉药物处方。由于症状持续存在，我院安排了24小时动态心电图监测，结果显示有巨大ST段抬高和多形性室性心动过速。在导管室进行的冷加压试验也诱发了室性心动过速。给予硝苯地平治疗，后续动态心电图监测显示无进一步的血管痉挛发作。本报告展示了24小时动态心电图节律监测和冷加压试验在夜间反复胸痛患者中的应用价值。
