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Young Vasospastic Angina Patients Less Than 20 Years Old

机译：年轻的旋转痉挛性心绞痛患者少于20岁

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Background: Japanese Circulation Society (JCS) guidelines do not include adolescents with coronary artery spasm. Methods?and?Results: We recruited 18 adolescents less than 20 years old with vasospastic angina (VSA): 11 were Japanese and 3 had chest symptoms for 12 months before admission. ST-segment elevation was observed in 11 patients and none of the 18 patients had a fixed stenosis. Spasm provocation tests were performed in 9 patients and two-thirds had multiple spasms; 6 suffered from acute myocardial infarction and ventricular fibrillation occurred in 2 patients; 1 patient died and the remaining 17 patents survived. Conclusions: Clinical status of adolescents with VSA was as severe as in adults with refractory VSA. Cardiologists should cooperate with pediatricians to diagnose and treat adolescents with VSA. There is a need to establish the additional issues for adolescents with coronary spasm in the JCS guidelines.
机译：背景：日本循环学会（JCS）指南不包括冠状动脉痉挛的青少年。方法？结果：我们招募了18名左右血管主轴（VSA）的青少年少于20岁以下（VSA）：11是日本人，3例胸部症状> 12个月入院前。在11名患者中观察到ST段升高，18名患者中没有一个固定的狭窄。痉挛挑衅试验在9名患者中进行，三分之二有多种痉挛; 6患者患有急性心肌梗死和心室颤动的患者发生了6例; 1名患者死亡，其余17项专利幸存下来。结论：与VSA的青少年的临床状态与难治性VSA的成人一样严重。心脏病学家应与儿科医生合作，以诊断和治疗与VSA的青少年。需要在JCS指南中建立具有冠状动脉痉挛的青少年的额外问题。

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