The Challenges of Treating Acute Myocardial Infarction due to Variant Angina: Lesson from an Interesting Case

被引：1

作者：

Ding, Wen-Yuan ^{[1
]}

Li, Jia-Min ^{[1
]}

Zheng, Fei ^{[1
]}

Wang, Li-Li ^{[1
,2
]}

Wei, Xin-Yi ^{[1
,3
]}

Li, Guo-Hua ^{[1
]}

机构：

[1] Shandong First Med Univ, Affiliated Hosp 1, Cardiol Dept 2, Shandong Prov Qianfoshan Hosp, Jinan 250014, Peoples R China

[2] Shandong Univ Tradit Chinese Med, Affiliated Hosp, Cardiol Dept 2, Jinan 250014, Peoples R China

[3] Shandong First Med Univ, Tai An 271016, Shandong, Peoples R China

来源：

CARDIOVASCULAR INNOVATIONS AND APPLICATIONS | 2021年 / 5卷 / 03期

基金：

中国国家自然科学基金;

关键词：

Variant angina; coronary spasm; transient ST segment changes; coronary angiography; troponin levels; calcium channel blockers; CORONARY-ARTERY SPASM;

D O I：

10.15212/CVIA.2019.1262

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Coronary artery spasm can cause recurrent variant angina with ST-segment elevation. The patient was asymptomatic with normal vitals and ECG was normal. We present a case associated with transient ST-segment elevation and significant increase in troponin levels with non-critical lesion with normal CAG.

引用

收藏

页码：213 / 218

页数：6

相关论文

共 11 条

[1]

Boudou N, 2017, AM J CARDIOVASC DIS, V7, P83

[2] Verapamil and vasospastic angina: underuse in the elderly population [J].

Humbert, Xavier ;

Roule, Vincent ;

Milliez, Paul ;

Alexandre, Joachim .

JOURNAL OF GERIATRIC CARDIOLOGY, 2017, 14 (07) :430-435

[3] Prinzmetals angina presenting with non critical lesion with normal FFR -to stent or not to stent [J].

Kadeli, Deepak ;

Keshava, R. ;

Magesh, B. ;

Krishnaprasath, V .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2017, 238 :1-4

[4]

Katsumata N, 1997, CIRCULATION, V96, P4357

[5] Variant Angina and Coronary Artery Spasm: The Clinical Spectrum, Pathophysiology, and Management [J].

Kusama, Yoshiki ;

Kodani, Eitaro ;

Nakagomi, Akihiro ;

Otsuka, Toshiaki ;

Atarashi, Hirotsugu ;

Kishida, Hiroshi ;

Mizuno, Kyoichi .

JOURNAL OF NIPPON MEDICAL SCHOOL, 2011, 78 (01) :4-12

[6]

Li Q, 2006, CHIN J CLIN RES, V2, P27

[7]

SCHROEDER JS, 1980, CHEST, V78, P231

[8] PREVENTION OF CARDIOVASCULAR EVENTS IN VARIANT ANGINA BY LONG-TERM DILTIAZEM THERAPY [J].

SCHROEDER, JS ;

LAMB, IH ;

BRISTOW, MR ;

GINSBURG, R ;

HUNG, J ;

MCAULEY, BJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1983, 1 (06) :1507-1511

[9] Alterations of autonomic nervous activity in recurrence of variant angina [J].

Takusagawa, M ;

Komori, S ;

Umetani, K ;

Ishihara, T ;

Sawanobori, T ;

Kohno, I ;

Sano, S ;

Yin, D ;

Ijiri, H ;

Tamura, K .

HEART, 1999, 82 (01) :75-81

[10] Effects of a 3-hydroxy-3-methylglutaryl coenzyme a reductase inhibitor, fluvastatin, on coronary spasm after withdrawal of calcium-channel blockers [J].

Yasue, Hirofumi ;

Mizuno, Yuji ;

Harada, Eisaku ;

Itoh, Teruhiko ;

Nakagawa, Hitoshi ;

Nakayama, Masafumi ;

Ogawa, Hisao ;

Tayama, Shinji ;

Honda, Takasi ;

Hokimoto, Seiji ;

Ohshima, Shuichi ;

Hokamura, Youichi ;

Kugiyama, Kiyotaka ;

Horie, Minoru ;

Yoshimura, Michihiro ;

Harada, Masaki ;

Uemura, Shiroh ;

Saito, Yoshihiko .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 51 (18) :1742-1748