VASOSPASTIC ANGINA-PECTORIS ASSOCIATED WITH APICAL HYPERTROPHIC CARDIOMYOPATHY

被引：7

作者：

NAKAHASHI, T

NAKA, M

SHIOTANI, I

NAGANO, R

BUN, T

AOKI, M

YAGORO, A

KATSUBE, Y

KATO, Y

KINOSHITA, N

NUKATA, T

机构：

[1] Department of Cardiovascular Medicine, Osaka-Minami National Hospital, Osaka

[2] Department of Clinical Research, Osaka-Minami National Hospital, Osaka

来源：

INTERNAL MEDICINE | 1995年 / 34卷 / 05期

关键词：

ACETYLCHOLINE; ISCHEMIC HEART DISEASE; CORONARY SPASM;

D O I：

10.2169/internalmedicine.34.436

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

As the chest symptoms and electrocardiographic changes of hypertrophic cardiomyopathy are occasionally very similar to those of angina pectoris, there are some difficulties in the diagnosis and treatment of cases of ischemic heart disease associated with hypertrophic cardiomyopathy, Here we report a case of vasospastic angina pectoris associated with hypertrophic cardiomyopathy diagnosed by coronary spasm provocation test performed by intracoronary administration of acetylcholine. In the treatment of such cases, beta blockers, which have the effect of decreasing the oxygen demand of the heart and the potential to induce coronary spasm, must be administered carefully.

引用

页码：436 / 440

页数：5

共 15 条

[1]

Yamaguchi H., Ishimura T., Nishiyama S., Et al., Hypertrophic nonobstructive cardiomyopathy with giant negative T waves (apical hypertrophy): ventriculographic and echocardiographic features in 30 patients, Am J Cardiol, 44, (1979)

[2]

Williams J., Kreshon M., Khan A.A., Apical hypertrophic cardiomyopathy in a non-oriental man, Southern Medical J, 83, (1990)

[3]

Ishiwata S., Nishiyama S., Nakanishi S., Et al., Natural history of 82 patients with hypertrophic cardiomyopathy: follow-up for over ten years, J Cardiol, 21, (1991)

[4]

Ouzt H.G., Prolonged chest pain suggesting myocardial infarction in patients with hypertrophic cardiomyopathy: Update III, The Heart, (1980)

[5]

Funayama N., Shibano T., Ishikawa M., Apical hypertrophic cardiomyopathy associated with effort-induced vasospastic angina-a case report, Coronary, 8, 2, (1991)

[6]

Lee J., Wataya S., Goto M., Et al., A case of apical hypertrophy associated with vasospastic angina, Naikahokan, 35, 2, (1988)

[7]

Hirokawa J., Horimoto M., Igarashi K., Et al., Hypertrophic cardiomyopathy with normal coronary arteries complication by acute myocardial infarction due to intracoronary thrombus, Shinzou, 23, (1991)

[8]

Komiyama N., Nishiyama S., Nakanishi S., Et al., Clinical diagnosis and pathogenesis of myocardial infarction complicated by hypertrophic cardiomyopathy: Review of eight cases, J Cardiol, 19, (1989)

[9]

Maron B.F., Epstein S.W., Roberts W.C., Hypertrophic cardiomyopathy and transmural myocardial infarction without significant atherosclerosis of the extramural coronary arteries, Am J Cardiol, 43, (1979)

[10]

Lazzeroni E., Rolli A., Aurier E., Et al., Clinical significance of coronary artery disease in hypertrophic cardiomyopathy, Am J Cardiol, 70, (1992)

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