Takashiba K, Matsuda Y, Hamada Y, Ohno H, Hyakuna E, Fujii M, Ebihara H
Department of Cardiology, Saiseikai Shimonoseki General Hospital, Yamaguchi, Japan.
Clin Cardiol. 1988 Apr;11(4):265-7. doi: 10.1002/clc.4960110413.
A 59-year-old man had a first myocardial infarction in the right coronary artery, followed by an another infarction in the left anterior descending coronary artery. Coronary thrombolysis for both occasions of acute myocardial infarction was successfully performed without severe residual stenosis. In the chronic phase after the second myocardial infarction, ergonovine test showed diffuse coronary artery spasm. The etiology of myocardial infarction is briefly discussed.
一名59岁男性首次发生右冠状动脉心肌梗死,随后左前降支冠状动脉又发生一次梗死。两次急性心肌梗死均成功进行了冠状动脉溶栓,且无严重残余狭窄。在第二次心肌梗死的慢性期,麦角新碱试验显示弥漫性冠状动脉痉挛。本文简要讨论了心肌梗死的病因。