[一例心肌梗死后自发性心绞痛：主动脉内球囊反搏治疗效果的病理生理学研究]
[A case of postinfarction spontaneous angina: physiopathological study of the therapeutic effectiveness of intra-aortic balloon pumping].
作者信息
Ferrucci L, Greppi B, Calamandrei M, Conti A, De Alfieri W, Di Bari M, Pini R, Vannucci A, Vassanelli C, Marchionni N
出版信息
G Ital Cardiol. 1983;13(3):197-200.
A 46-year-old patient showed spontaneous angina with anterior S-T segment depression 30 hours after an inferior acute myocardial infarction. Myocardial ischemia, which was resistant to drug therapy and induced acute left ventricular failure, was promptly reversed by intra-aortic balloon pumping (IABP). Coronary angiography demonstrated diffuse, severe atherosclerotic disease. Efficacy of IABP in this case of spontaneous angina might be ascribed to an increase of the coronary cross-sectional area in response to the increased intraluminal pressure ("passive vasomotion").
一名46岁患者在急性下壁心肌梗死后30小时出现伴有前壁ST段压低的自发性心绞痛。药物治疗无效且引发急性左心室衰竭的心肌缺血，通过主动脉内球囊反搏（IABP）迅速得到逆转。冠状动脉造影显示弥漫性严重动脉粥样硬化疾病。IABP对该例自发性心绞痛的疗效可能归因于管腔内压力增加时冠状动脉横截面积的增大（“被动血管运动”）。
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