CORONARY ARTERIAL SPASM AS A CAUSE OF EXERCISE-INDUCED ST-SEGMENT ELEVATION IN PATIENTS WITH VARIANT ANGINA

被引:187
作者
SPECCHIA, G [1 ]
DESERVI, S [1 ]
FALCONE, C [1 ]
BRAMUCCI, E [1 ]
ANGOLI, L [1 ]
MUSSINI, A [1 ]
MARINONI, GP [1 ]
MONTEMARTINI, C [1 ]
BOBBA, P [1 ]
机构
[1] UNIV PAVIA, POLICLIN S MATTEO, DIV CARDIOL,, I-27100 PAVIA, ITALY
关键词
D O I
10.1161/01.CIR.59.5.948
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Four patients with variant angina pectoris exhibited reproducible exercise-induced chest pain and ST-segment elevation. Coronary arterial spasm was documented with arteriography during exercise-induced ST-segment elevation (three patients) or after intravenous administration of ergonovine maleate (one patient). Our observations show that in patients with variant angina, exercise can trigger coronary arterial spasm, thus inducing anginal pain and ST-segment elevation.
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收藏
页码:948 / 954
页数:7
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