摘要
血管痉挛性心绞痛(VSA)是由冠状动脉可逆性痉挛导致的一种心肌缺血表现,室性心动过速、心室颤动和Ⅲ度房室传导阻滞(AVB)等致命性心律失常是该病最严重的并发症,其中Ⅲ度AVB约占1.47%,较少见。本文报道1例VSA合并Ⅲ度AVB患者,在排除阻塞性冠状动脉疾病后应用地尔硫䓬静脉推注,患者症状缓解,之后长期口服地尔硫䓬,心绞痛未再发作。
Vasospastic angina(VSA)is a manifestation of myocardial ischemia caused by reversible spasm of coronary artery,and fatal arrhythmias such as ventricular tachycardia,ventricular fibrillation and degreeⅢatrioventricular block(AVB)are the most serious complications of the disease,of which degreeⅢAVB accounts for about 1.47%,which is rare.This paper reports a case of VSA combined with degreeⅢAVB.After excluding obstructive coronary artery disease,diltiazem was intravenously injected,and the patient's symptoms were relieved,and then long-term oral diltiazem was conducted,and angina pectoris did not recur.
作者
张瑾
刘成伟
韩敏
何亚峰
ZHANG Jin;LIU Chengwei;HAN Min;HE Yafeng(Medical College of Wuhan University of Science and Technology,Wuhan 430065,China;Department of Cardiology,Wuhan Asia Heart Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430022,China;Department of Ultrasound,Wuhan Asia Heart Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430022,China)
出处
《实用心脑肺血管病杂志》
2023年第3期138-140,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
武汉市卫生健康委员会医学科研项目青年重点项目(WX19Q13)。
