Lesson Twenty-seven Coronary Spasm:A Case of Transient ST Elevation and Syncopal Ventricular Tachycardia without Angina

第27课冠状动脉痉挛:无痛性短暂ST段抬高伴室性心动过速晕厥1例患者男性,60岁,因反复先兆晕厥和晕厥一次就诊。体检正常。心电图示轻微的一度房室传导阻滞,超声心动描记术、X线胸片、血生化和动态心电图等检查均正常。

A 60-year-old man underwent investigation of recurrent episodes of pre-syncope and one episode of syncope. Clinical examination and initial investigations were normal. The 12-lead ECG showed mild first degree AV block and right bundle branch block. Echocardiogram, chest X-ray and routine biochemical and haematological analyses were normal. No symptoms occurred during the initial Holter recording which was normal.