Apostolov G
Vutr Boles. 1981;20(1):111-6.
After a brief literature survey, the author described a patient of 42, with its first stenocardia paroxysm, accompanied by tachycardia, clonic-tonic convulsion as MAS syndrome, loss of consciousness and spontaneous restoration. After 6 hours a second stenocardia paroxysm followed, when a gigantic ST segment elevation was recorded in precordial leads, appearance of paroxysmal ventricular tachycardia, ventricular fibrillation, loss of consciousness, restored via defibrillation. ST elevation faded by the 25 the minute. The changes are stressed to be most likely due to coronary spasm of r. descendens of the left coronary artery and to changes in the small myocardial vessels. The opinion that Prinzmetal stenocardia is a variant of angina pectoris is confirmed as well as that paroxysm could be with a lethal end due to ventricular fibrillation.
在进行简短的文献调研后，作者描述了一名42岁的患者，其首次出现心绞痛发作，伴有心动过速、阵挛 - 强直惊厥，表现为变异型心绞痛综合征（MAS综合征），意识丧失后又自行恢复。6小时后出现第二次心绞痛发作，此时胸前导联记录到巨大的ST段抬高，出现阵发性室性心动过速、心室颤动，意识丧失，经除颤后恢复。ST段抬高在第25分钟时消退。强调这些变化极有可能是由于左冠状动脉降支痉挛以及心肌小血管的改变所致。普林兹金属型心绞痛是心绞痛的一种变异型这一观点得到了证实，同时也证实了发作可能因心室颤动而导致致命结局。
