Specchia G, Bramucci E, Angoli L, de Servi S, Mussini A, Marinoni G P, Ray M
Eur J Cardiol. 1978 Dec;8(6):581-8.
A 44-yr-old man suffering fro exertional, emotional and spontaneous angina underwent coronary arteriography. During the examination he had a spontaneous attack of angina with ST elevation in the anterior leads. Injection of a contrast medium in the left coronary artery during pain showed marked spasm with anterior descending artery occlusion. The spasm was quickly relieved by nitroglycerin. Intravenous administration of 0.4 mg of ergonovine maleate reproduced the anginal episode with pain, ST elevation in the anterior leads and coronarographic patterns of a spasm occluding the anterior descending artery at the same level. After nitroglycerin, the pain disappeared and the electrocardiographic and coronarographic findings returned to basal conditions.
一名44岁患有劳力性、情绪性和自发性心绞痛的男性接受了冠状动脉造影。检查期间，他在前导联出现ST段抬高的自发性心绞痛发作。疼痛发作时向左冠状动脉注射造影剂显示前降支动脉闭塞伴明显痉挛。硝酸甘油迅速缓解了痉挛。静脉注射0.4mg马来酸麦角新碱再现了心绞痛发作，伴有疼痛、前导联ST段抬高以及与之前相同水平的前降支动脉痉挛闭塞的冠状动脉造影表现。使用硝酸甘油后，疼痛消失，心电图和冠状动脉造影结果恢复至基础状态。
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