Adachi Kentaro, Hayashi Takaharu, Omatsu Takashi, Hirayama Atsushi, Higuchi Yoshiharu
Cardiovascular Medicine, Osaka Police Hospital, Osaka, JPN.
Cureus. 2021 Apr 9;13(4):e14380. doi: 10.7759/cureus.14380.
An 80-year-old man presented to our hospital complaining of loss of appetite. During the medical examination, he developed variant angina accompanied with heart failure. Oral calcium channel blocker therapy controlled his variant angina, but medical management of heart failure became increasingly difficult due to gradually increasing pericardial effusion, and pericardiocentesis leading to the diagnosis of effusive-constrictive pericarditis (ECP). Here, we report a rare case of idiopathic pericarditis caused variant angina with already having endothelial dysfunction and eventually developed ECP.
一名80岁男性因食欲不振前来我院就诊。在体格检查期间，他出现了变异型心绞痛并伴有心力衰竭。口服钙通道阻滞剂治疗控制了他的变异型心绞痛，但由于心包积液逐渐增多，心力衰竭的药物治疗变得越来越困难，心包穿刺术最终确诊为渗出性缩窄性心包炎（ECP）。在此，我们报告一例罕见的特发性心包炎导致变异型心绞痛的病例，该患者已存在内皮功能障碍，最终发展为ECP。
