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血管痉挛性骤停：一例危及生命的变异型心绞痛病例

Vasospastic Arrest:: A Heart-Stopping Case of Prinzmetal Angina.

作者信息

Jiang Michael, Kaplan Rachel M, Peigh Graham, Cheema Baljash, Sawicki Konrad Teodor, Pfenniger Anna, Davidson Laura, Kim Susan S

机构信息

Department of Medicine, Division of Cardiology/Electrophysiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Dr. Kim is a member of the Speakers Bureau of Boston Scientific and Medtronic.

出版信息

JACC Case Rep. 2020 Apr;2(4):611-614. doi: 10.1016/j.jaccas.2020.01.007. Epub 2020 Apr 1.

DOI:10.1016/j.jaccas.2020.01.007
PMID:32432226
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7236804/
Abstract

Vasospastic angina is an uncommon cause of cardiac arrest. We describe a patient who presented with sudden cardiac arrest due to severe coronary vasospasm. Telemetry during the event revealed ventricular arrhythmias and asystole followed by spontaneous self-conversion back to normal sinus rhythm. The patient underwent implantable cardioverter-defibrillator therapy. ().

摘要

变异性心绞痛是心脏骤停的罕见原因。我们描述了一名因严重冠状动脉痉挛而出现心脏骤停的患者。事件发生期间的遥测显示室性心律失常和心搏停止，随后自发恢复为正常窦性心律。该患者接受了植入式心脏复律除颤器治疗。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/8298560/3e90d8b70f5b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/8298560/71f5aa3573f9/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/8298560/8b8f11a88815/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/8298560/d71de96d3b78/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/8298560/3e90d8b70f5b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/8298560/71f5aa3573f9/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/8298560/8b8f11a88815/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/8298560/d71de96d3b78/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/8298560/3e90d8b70f5b/gr3.jpg

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Variant Angina and Aborted Sudden Cardiac Death.变异性心绞痛和心脏性猝死。
Curr Cardiol Rep. 2018 Mar 8;20(4):26. doi: 10.1007/s11886-018-0963-1.
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变异型心绞痛致心搏骤停猝死的预后。
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An atypical case of vasospastic angina: demonstrating the usefulness of Holter monitoring.一例变异型心绞痛的非典型病例：显示动态心电图监测的实用性。
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Clinical implications of an implantable cardioverter-defibrillator in patients with vasospastic angina and lethal ventricular arrhythmia.植入式心脏复律除颤器在伴有血管痉挛性心绞痛和致命性室性心律失常患者中的临床意义。
J Am Coll Cardiol. 2012 Sep 4;60(10):908-13. doi: 10.1016/j.jacc.2012.03.070. Epub 2012 Jul 25.
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Angina pectoris. I. A variant form of angina pectoris; preliminary report.心绞痛。一、心绞痛的一种变异形式；初步报告。
Am J Med. 1959 Sep;27:375-88. doi: 10.1016/0002-9343(59)90003-8.
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Usefulness of implantable cardioverter-defibrillators in refractory variant angina pectoris complicated by ventricular fibrillation in patients with angiographically normal coronary arteries.植入式心脏复律除颤器在冠状动脉造影正常的难治性变异型心绞痛合并心室颤动患者中的应用价值。
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Life-threatening ventricular arrhythmias in patients with silent myocardial ischemia due to coronary-artery spasm.因冠状动脉痉挛导致无症状心肌缺血的患者出现危及生命的室性心律失常。
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