血管痉挛诱发的心肌梗死和晕厥表现为反复胸痛。

Vasospasm-Induced Myocardial Infarction and Syncope Manifesting as Recurrent Chest Pain.

作者信息

Hassan Hebah, Singh Paramvir, Terrigno Vittorio, Rusovici Arthur

机构信息

Department of Internal Medicine, New York University Langone Hospital, Long Island, New York, USA.

Department of Cardiology, New York University Langone Hospital, Long Island, New York, USA.

出版信息

JACC Case Rep. 2024 Oct 2;29(19):102568. doi: 10.1016/j.jaccas.2024.102568.

DOI:10.1016/j.jaccas.2024.102568

PMID:39484307

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11522724/

Abstract

We present a case of coronary vasospasm that presented as an acute ST-segment elevation myocardial infarction following a syncopal event, which was preceded by an episode of crushing chest pain. This report discusses proper diagnosis and treatment of cardiogenic syncope and recurrent chest pain secondary to uncontrolled coronary vasospasm.

摘要

我们报告一例冠状动脉痉挛病例，该病例表现为晕厥事件后出现急性ST段抬高型心肌梗死，晕厥前有一阵压榨性胸痛。本报告讨论了心源性晕厥和继发于未控制的冠状动脉痉挛的复发性胸痛的正确诊断和治疗。