Cardiovascular Division, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Catheter Cardiovasc Interv. 2020 May 1;95(6):1129-1132. doi: 10.1002/ccd.28418. Epub 2019 Jul 31.
Takayasu arteritis (TA) is a well-reported form of large-vessel vasculitis that primarily affects the aorta and its major branches. Cardiac manifestations of TA have been reported and can include typical angina secondary to coronary artery involvement; however, typical angina in the setting normal coronary arteries is uncommon. We describe a case of typical angina in a patient with TA with normal coronary arteries secondary to diastolic hypotension, in the absence of significant aortic regurgitation, likely from poor aortic distensibility and elevated left ventricular end-diastolic pressure.
Takayasu 动脉炎（TA）是一种常见的大血管血管炎，主要影响主动脉及其主要分支。TA 的心脏表现已有报道，可包括典型的心绞痛，这是由冠状动脉受累引起的；然而，在正常冠状动脉的情况下，典型的心绞痛并不常见。我们描述了一例 TA 患者的典型心绞痛，其冠状动脉正常，但由于舒张压低血压，以及可能由于主动脉顺应性差和左心室舒张末期压力升高导致的主动脉瓣反流不明显。
