Straub E J, Pupello D F, Harrison E E
JACEP. 1977 Sep;6(9):405-7. doi: 10.1016/s0361-1124(77)80005-1.
A patient who was resuscitated after an episode of ventricular fibrillation without myocardial infarction outside the hospital developed angina for the first time two years later. Although the clinical pattern did not fulfill all of the criteria of Prinzmetal's variant angina and was found to correspond with episodes of ventricular tachycardia, we feel that Prinzmetal's angina can be implicated as the mechanism of previos ventricular fibrillation. During the patient's second hospitalization, angiography demonstrated a single, moderately stenotic, right coronary lesion which was bypassed. Immediately postoperatively, the patient developed ventricular fibrillation requiring more than two hours of cardiopulmonary resuscitation. Six months after bypass surgery, she experienced an inferior wall myocardial infarction. She is presently asymptomatic with normal heart size.
一名在院外发生心室颤动且无心肌梗死经历后经复苏成功的患者，两年后首次出现心绞痛。尽管其临床症状并不完全符合普林兹梅尔变异型心绞痛的所有标准，且发现与室性心动过速发作相关，但我们认为普林兹梅尔心绞痛可能是此前心室颤动的发病机制。在该患者第二次住院期间，血管造影显示右冠状动脉有一处单一的中度狭窄病变，并进行了搭桥手术。术后即刻，患者发生心室颤动，需要进行两个多小时的心肺复苏。搭桥手术后六个月，她发生了下壁心肌梗死。她目前无症状，心脏大小正常。
