需要心脏自体移植但通过吸烟得以控制的冠状动脉痉挛
Coronary Artery Vasospasm Requiring Cardiac Autotransplantation Yet Controlled With Tobacco.
作者信息
Tran Matthew V, Marceau Eric, Liu Yu, Sallam Karim, Medina Pedro, Liu Chun, Sayed Nazish, Muller Matthew D, Liang David H, Chen Ian Y
机构信息
Stanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, California, USA.
Medical Service, Cardiology Section, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA.
出版信息
JACC Case Rep. 2021 May 26;3(9):1177-1181. doi: 10.1016/j.jaccas.2021.03.018. eCollection 2021 Aug 4.
Coronary artery vasospasm is typically managed through avoidance of triggers and with symptomatic treatments with calcium channel blockers and long-acting nitrates. Here, we report a rare case of medically refractory coronary artery vasospasm associated with genetic predispositions that initially required cardiac autotransplantation followed paradoxically by nicotine for long-term symptomatic control. ().
冠状动脉痉挛通常通过避免触发因素以及使用钙通道阻滞剂和长效硝酸盐进行对症治疗来处理。在此，我们报告一例罕见的、与遗传易感性相关的药物难治性冠状动脉痉挛病例，该病例最初需要进行心脏自体移植，而后反常地使用尼古丁进行长期症状控制。（）
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