Weinmann P, Le Guludec D, Moretti J L
Service de Biophysique et Médecine Nucléaire, Hôpital Avicenne, Bobigny, France.
Int J Cardiol. 1994 Jan;43(1):75-8. doi: 10.1016/0167-5273(94)90093-0.
A 59-year-old male underwent a dipyridamole myocardial scintigraphy. During dipyridamole infusion, a marked ST-segment elevation was observed in the inferior leads. After aminophylline injection, a short burst of ventricular tachycardia occurred, then the ST-segment elevation disappeared. The myocardial scintigraphy was consistent with myocardial ischemia of the inferior wall. The coronary angiography revealed no significant coronary lesion. Coronary spasm induced by dipyridamole remained the most probable mechanism for this complication.
一名59岁男性接受了双嘧达莫心肌闪烁扫描。在输注双嘧达莫期间，下壁导联观察到明显的ST段抬高。注射氨茶碱后，出现一阵短暂的室性心动过速，随后ST段抬高消失。心肌闪烁扫描结果与下壁心肌缺血相符。冠状动脉造影显示无明显冠状动脉病变。双嘧达莫诱发的冠状动脉痉挛仍然是该并发症最可能的机制。
