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难治性右冠状动脉痉挛：一例报告

Refractory Right Coronary Artery Spasm: A Case Report.

作者信息

Yazdchi Siamac, Desai Santosh, Rodriguez Janelle, Hiriyur Prakash Meghanaprakash, Bokhari Ismail A H

机构信息

Internal Medicine, Banner - University Medical Center Phoenix, Phoenix, USA.

Interventional Cardiology, Cardiovascular Associates of Mesa, Phoenix, USA.

出版信息

Cureus. 2020 Feb 18;12(2):e7034. doi: 10.7759/cureus.7034.

DOI:10.7759/cureus.7034
PMID:32211267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7082791/
Abstract

Herein, we report a case of severe coronary spasm during cardiac catheterization refractory to medical management. Although this condition is usually managed with vasodilating agents, our patient ultimately required placement of stents.

摘要

在此，我们报告一例心脏导管插入术期间发生的严重冠状动脉痉挛，药物治疗无效。尽管这种情况通常用血管扩张剂治疗，但我们的患者最终需要植入支架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfab/7082791/6425ee35b310/cureus-0012-00000007034-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfab/7082791/6425ee35b310/cureus-0012-00000007034-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfab/7082791/6425ee35b310/cureus-0012-00000007034-i01.jpg

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Refractory Right Coronary Artery Spasm: A Case Report.难治性右冠状动脉痉挛：一例报告
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引用本文的文献

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Interact Cardiovasc Thorac Surg. 2021 Oct 4;33(4):637-639. doi: 10.1093/icvts/ivab128.

本文引用的文献

1
Catheter-induced Spasm in the Proximal Right Coronary Artery.导管诱发的右冠状动脉近端痉挛
Intern Med. 2019 Jan 1;58(1):21-30. doi: 10.2169/internalmedicine.1483-18. Epub 2018 Aug 10.
2
Acute myocardial infarction with no obstructive coronary atherosclerosis: mechanisms and management.无阻塞性冠状动脉粥样硬化性急性心肌梗死：机制与治疗。
Eur Heart J. 2015 Feb 21;36(8):475-81. doi: 10.1093/eurheartj/ehu469. Epub 2014 Dec 18.
3
Two cases of non-intervention-related vascular intense spasm following stent implantation in the coronary artery.
冠状动脉支架植入术后两例与介入操作无关的血管强烈痉挛
Exp Ther Med. 2013 Jun;5(6):1623-1626. doi: 10.3892/etm.2013.1027. Epub 2013 Mar 26.
4
Coronary artery spasm: a 2009 update.冠状动脉痉挛：2009年最新进展
Circulation. 2009 May 12;119(18):2531-4. doi: 10.1161/CIRCULATIONAHA.108.843474.
5
Arteriographic demonstration of coronary artery spasm and its release after the use of a vasodilator in a case of angina pectoris and in the experimental animal.在一例心绞痛患者及实验动物中，通过动脉造影显示冠状动脉痉挛及其在使用血管扩张剂后的缓解情况。
Angiology. 1962 Dec;13:550-3. doi: 10.1177/000331976201301202.
6
Coronary artery stent placement in patients with variant angina refractory to medical treatment.药物治疗无效的变异型心绞痛患者冠状动脉支架置入术
Am J Cardiol. 1999 Jul 1;84(1):96-8, A8. doi: 10.1016/s0002-9149(99)00201-5.
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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
Successful treatment of coronary artery spasm following coronary artery bypass grafting.
Cardiologia. 1993 Sep;38(9):601-5.
9
Coronary artery spasm. Multiple causes and multiple roles in heart disease.冠状动脉痉挛。心脏病中的多种病因及多种作用。
Biochem Pharmacol. 1995 Mar 30;49(7):859-71. doi: 10.1016/0006-2952(94)00447-t.
10
Percutaneous transluminal coronary angioplasty for the treatment of variant angina.经皮腔内冠状动脉成形术治疗变异型心绞痛。
J Am Coll Cardiol. 1985 May;5(5):1046-54. doi: 10.1016/s0735-1097(85)80004-8.