急性心肌梗死期间的冠状动脉痉挛
Coronary artery spasm during acute myocardial infarction.
作者信息
Buda A J, Macdonald I L
出版信息
Acta Cardiol. 1981;36(4):295-300.
PMID:6974946
Abstract
A 51 year old man presented with unstable angina. Following initial improvement, the patient had prolonged, continuous chest pain resulting in myocardial infarction. During the evolving myocardial infarction, coronary angiography was performed and demonstrated coronary spasm superimposed on a high-grade atherosclerotic lesion. The role of coronary spasm in the etiology of myocardial infarction is discussed. Subsequent aorto-coronary bypass surgery was performed uneventfully.
摘要
一名51岁男性因不稳定型心绞痛就诊。在初步病情改善后，患者出现持续时间较长的胸痛，最终导致心肌梗死。在进展性心肌梗死期间，进行了冠状动脉造影，结果显示冠状动脉痉挛叠加在高度动脉粥样硬化病变之上。本文讨论了冠状动脉痉挛在心肌梗死病因中的作用。随后顺利进行了主动脉冠状动脉搭桥手术。
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