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首页> 外文期刊>Cureus. >Accelerated Idioventricular Rhythm at the Termination of an Episode of Vasospastic Angina
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Accelerated Idioventricular Rhythm at the Termination of an Episode of Vasospastic Angina

机译：血管痉挛性心绞痛发作终止时加速的室性心律

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A 57-year-old male with gastroesophageal reflux disease and esophageal stricture with dilation presented as a cardiac catheterization lab activation for anterolateral ST-segment elevation myocardial infarction. He had suffered an unwitnessed syncopal episode after severe substernal chest pain. Electrocardiogram (ECG) showed anterolateral ST-segment elevation. Markers of myocardial injury were negative. He subsequently had an unremarkable coronary angiogram, echocardiogram, and cardiac magnetic resonance imaging (MRI). He had another episode of crushing chest pain and palpitations during his hospital stay, which correlated with ST-segment elevation, followed by a slow run of ventricular arrhythmia that terminated after a dose of sublingual nitroglycerin. A diagnosis of accelerated idioventricular rhythm (AIVR) following coronary artery vasospasm (CAV) was made. This clinical vignette presents a unique presentation of AIVR following an episode of Prinzmetal’s angina.
机译：一名57岁的男性，患有胃食管反流病和食管狭窄并扩张，表现为前庭ST段抬高型心肌梗塞的心脏导管实验室激活。胸骨下严重胸痛后，他遭受了昏迷的晕厥发作。心电图（ECG）显示前ST段抬高。心肌损伤指标为阴性。随后，他的冠状动脉造影，超声心动图和心脏磁共振成像（MRI）均不明显。在住院期间，他又出现了剧烈的胸痛和心发作，这与ST段抬高有关，随后缓慢的室性心律失常在服用舌下硝酸甘油后终止。诊断为冠状动脉血管痉挛（CAV）后的室速加快（AIVR）。在Prinzmetal的心绞痛发作后，该临床插图呈现了AIVR的独特表现。

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