心肌核素显像指导下尼可地尔治疗冠状动脉慢血流1例
王苏,孟晶晶,王茜,石会强,许立刚,姚建奇,孙涛
摘要(Abstract):
<正>1临床资料患者男, 43岁。主因"间断心悸1个月,发作性胸痛5d"于2017年6月23日入首都医科大学附属北京安贞医院心内五科。患者入院前1个月多于早餐后心悸,持续15 min左右自行缓解。当地医院行24 h动态心电图检查示频发室性早搏,予美西律、美托洛尔等药物治疗后症状改善。入院前5 d无诱因突发胸痛,约10 min自行缓解。既往高血压病4年,曾行CT检查疑诊嗜铬细胞瘤,规律口服厄贝沙坦氢氯噻嗪治疗,血压控制满意。吸烟史
关键词(KeyWords): 冠状动脉慢血流;尼可地尔;心肌核素显像
基金项目(Foundation):
作者(Author): 王苏,孟晶晶,王茜,石会强,许立刚,姚建奇,孙涛
参考文献(References):
- [1]Tambe AA,Demany MA,Zimmerman HA,et al.Angina pectoris and slow flow velocity of dye in coronary arteries--a new angiographic finding.Am Heart J,1972,84(1):66-71.
- [2]Gibson CM,Cannon CP,Daley WL,et al.TIMI frame count:a quantitative method of assessing coronary artery flow.Circulation,1996,93(5):879-888.
- [3]解翠,吕慧,高奋,等.冠状动脉慢血流性心绞痛危险因素初步分析.中国介入心脏病学杂志,2015,23(4):213-216.
- [4]Yucel H,Ozaydin M,Dogan A,et al.Plasma concentrations of asymmetric dimethylarginine,nitric oxide and homocysteine in patients with slow coronary flow.Scand J Clin Lab Invest,2012,72(6):495-500.
- [5]Oz F,Cizgici AY,Oflaz H,et al.Impact of vitamin D insufficiency on the epicardial coronary flow velocity and endothelial function.Coron Artery Dis,2013,24(5):392-397.
- [6]Li Q,Han J,Chen H,et al.Reduced circulating endothelial progenitor cells in the coronary slow flow phenomenon.Coron Artery Disease,2013,24(1):6-10.
- [7]Mangieri E,Macchiarelli G,Ciavolella M,et al.Slow coronary flow:clinical and histopathological features in patients with otherwise normal epicardial coronary arteries.Cathet Cardiovasc Diagn,1996,37(4):375-381.
- [8]Celebi H,Catakoglu AB,Kurtoglu H,et al.The relation between coronary flow rate,plasma endothelin-1 concentrations,and clinical characteristics in patients with normal coronary arteries.Cardiovasc Revasc Med,2008,9(3):144-148.
- [9]Akpinar I,Sayin MR,Gursoy YC,et al.Plateletcrit and red cell distribution width are independent predictors of the slow coronary flow phenomenon.J Cardi,2014,63(2):112-118.
- [10]王苏,张艳艳,张冬花,等.血液细胞成分与女性冠状动脉慢血流的关系.中华实用诊断与治疗杂志,2015,29(2):157-158.
- [11]张风雷,袁燕,郑曼,等.冠状动脉慢血流现象病理生理机制及药物治疗进展.实用医学杂志,2014,30(23):3727-3729.
- [12]石宇杰,牛丽丽,李俊峡,等.负荷心肌核素灌注显像联合冠状动脉CTA对冠状动脉慢血流的诊断价值.中国循证心血管医学杂志,2015,7(4):527-529.