Finsterer J, Stöllberger C, Ernst G
Ludwig Boltzmann Institute for Epilepsy and Neuromuscular Disorders, Vienna, Austria.
Herz. 1998 Aug;23(5):303-6. doi: 10.1007/BF03044362.
We wanted to find out if chest pain in cardiac syndrome X can be a manifestation of neuromuscular disorders. Five patients with cardiac syndrome X (3 women, 2 men), aged 34 to 70 years, consented with a clinical neurological examination, muscle enzyme testing, electroneurography of the right median and peroneal nerves and electromyography of the right brachial biceps and anterior tibial muscles. A neuromuscular disorder was found in 1 of the 5 investigated patients. The 60-year-old man presented with a monoparesis of the left leg and sensory dysfunction of the left upper and lower limb. He was diagnosed as having either posttraumatic myelopathy or radiculopathy. Since chest pain in cardiac syndrome X can be caused by neuromuscular disorders, a comprehensive neurological examination is recommended in patients with this disorder.
我们想弄清楚心脏X综合征中的胸痛是否可能是神经肌肉疾病的一种表现。五名心脏X综合征患者（3名女性，2名男性），年龄在34至70岁之间，同意接受临床神经学检查、肌肉酶测试、右侧正中神经和腓总神经的神经电图检查以及右侧肱二头肌和胫前肌的肌电图检查。在5名接受调查的患者中，有1名被发现患有神经肌肉疾病。这位60岁的男性表现为左腿单瘫以及左上肢和下肢感觉功能障碍。他被诊断为患有创伤后脊髓病或神经根病。由于心脏X综合征中的胸痛可能由神经肌肉疾病引起，因此建议对患有这种疾病的患者进行全面的神经学检查。
