Kirigin M, Aldridge H, Zelovitsky L, Schwartz L
Toronto Hospital, Department of Medicine, University of Toronto, Ontario, Canada.
Cathet Cardiovasc Diagn. 1996 Mar;37(3):258-61. doi: 10.1002/(SICI)1097-0304(199603)37:3<258::AID-CCD6>3.0.CO;2-B.
This report describes a patient who presented with a non Q wave myocardial infarction and post-infarction angina. Angiography revealed that his only significant disease was a severe lesion in an acute marginal branch of the right coronary artery. Balloon angioplasty was performed successfully with subsequent stabilization and no recurrence of angina in a 9-month follow-up. This case raises the possibility that acute marginal disease may contribute to ischemic syndromes and warrants consideration for revascularization.
本报告描述了一名出现非Q波心肌梗死和梗死后心绞痛的患者。血管造影显示，其唯一的严重病变是右冠状动脉急性边缘支的一处严重损伤。成功进行了球囊血管成形术，随后病情稳定，在9个月的随访中未再出现心绞痛。该病例提示急性边缘支病变可能导致缺血综合征，值得考虑进行血运重建。
