Chest pain with ST-T changes on electrocardiogram and localized stenosis on coronary angiography could be a coronary vasospasm

Bharat Jagiasi; Prashant Nasa; Debabrata Dash

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Chest pain with ST-T changes on electrocardiogram and localized stenosis on coronary angiography could be a coronary vasospasm

机译：心电图上ST-T改变而胸痛和冠状动脉造影上的局限性狭窄可能是冠状动脉痉挛

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Coronary vasospasm is characterized by chest pain at rest with ST-T changes on electro cardiogram and coronary angiography showing virtually normal coronaries. The definitive diagnosis requires the stimulation of coronary vasospasm using provocative agents, which can be life threatening. We present a case where localized stenosis of proximal left anterior descending artery was observed on the coronary angiography, which disappeared on subsequent views, and hence, coronary stenting was deferred and patient responded well to medical management alone.

机译：冠状动脉痉挛的特征是静止时胸痛，心电图和冠状动脉造影的ST-T改变显示冠状动脉实际上是正常的。明确的诊断需要使用可能威胁生命的刺激剂刺激冠状动脉痉挛。我们提出了一种情况，在冠状动脉造影上观察到了左前降支近端的局部狭窄，在随后的观察中消失了，因此，推迟了冠状动脉支架置入术，患者对单独的药物治疗反应良好。

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《Journal of Cardiovascular Disease Research》 |2012年第2期|共2页
作者
Bharat Jagiasi; Prashant Nasa; Debabrata Dash;
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中图分类心脏、血管（循环系）疾病;
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机译：心率相对较高的患者评估前瞻性心电门控高螺距螺旋采集方式双源CT冠状动脉造影在冠状动脉狭窄中的可行性和诊断准确性：与导管冠状动脉造影比较
2. Comparison of visual assessment of coronary stenosis with independent quantitative coronary angiography: Findings from the Prospective Multicenter Imaging Study for Evaluation of Chest Pain (PROMISE) trial [J] . Shah Rohan, Yow Eric, Jones WilliamSchuyler, The American heart journal . 2017,第期

机译：冠状动脉狭窄视觉评估与独立定量冠状动脉造影的视觉评估：从前瞻性多中心成像研究评价胸痛评价（承诺）试验
3. High-risk plaque detected on coronary CT angiography predicts acute coronary syndromes independent of significant stenosis in acute chest pain: Results from the ROMICAT-II trial [J] . PuchnerS.B., LiuT., MayrhoferT., Journal of the American College of Cardiology . 2014,第7期

机译：在冠状动脉CT血管造影上检测到的高危斑块可预测急性冠状动脉综合征，独立于急性胸痛的显着狭窄：ROMICAT-II试验的结果
4. Coronary CT Angiography in the Diagnosis of Patients with Acute Chest Pain [C] . D.A. Halon, R. Rubinshtein, T. Gaspar, International Congress on Coronary Artery Disease . 2007

机译：冠状动脉CT血管造影在急性胸痛患者的诊断中
5. Clarifying the Optimal Management Strategy for Patients with Possible Acute Coronary Syndrome with Intermediate Stenosis and High-Risk Plaque Morphology on Coronary Computed Tomographic Angiography [D] . Dwyer, Stephanie M. 2019

机译：明确可能的急性冠脉综合征合并中度狭窄和高风险斑块形态的冠状动脉计算机断层扫描血管造影的最佳管理策略
6. Chest pain with ST-T changes on electrocardiogram and localized stenosis on coronary angiography could be a coronary vasospasm [O] . Bharat Jagiasi, Prashant Nasa, Debabrata Dash 2012

机译：心电图上ST-T改变而胸痛和冠状动脉造影上的局限性狭窄可能是冠状动脉痉挛
7. Chest pain with ST-T changes on electrocardiogram and localized stenosis on coronary angiography could be a coronary vasospasm [O] . Jagiasi, Bharat, Nasa, Prashant, Dash, Debabrata 2012

机译：心电图上ST-T改变而胸部疼痛以及冠状动脉造影上的局部狭窄可能是冠状动脉痉挛

Chest pain with ST-T changes on electrocardiogram and localized stenosis on coronary angiography could be a coronary vasospasm

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