光学相干断层成像联合麦角新碱激发试验诊治典型冠状动脉痉挛综合征1例
童亚良,贺玉泉,杨萍
摘要(Abstract):
<正>1临床资料患者男,43岁。"因间断性心前区疼痛3个月,心肺复苏术后3 d"由外院转入吉林大学中日联谊医院心内科。既往无高血压病史、糖尿病病史,否认吸烟史。来院3个月前,患者晨起后无明显诱因出现心前区闷痛,面积为手掌大小,持续1~2 min自行缓解,于当地医院行心电图(electrocardiography,ECG)检查提示V2~V4导联双向T波(图1 A)。给予单硝酸异山梨酯(50 mg、每日1次)、阿托伐他汀(20 mg、每晚1次)、阿司匹林(300 mg单次负荷后,维持100 mg、每日1次)、氯吡格雷(300 mg单次负荷后,维持75 mg、每日1次)治疗。其后再次发作心前区疼痛1次,于当地医院复查心电图提示Ⅰ、a VL、
关键词(KeyWords): 冠状动脉痉挛综合征;药物激发试验;光学相干断层成像
基金项目(Foundation): 吉林省直卫生专项项目(3D514L603430)
作者(Author): 童亚良,贺玉泉,杨萍
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