Pilsicainide-induced coronary vasospasm in a patient with Brugada-type electrocardiogram.

Goda A; Yamashita T; Kato T; Koike A; Sagara K; Kirigaya H; Itoh H; Aizawa T; Fu LT

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Pilsicainide-induced coronary vasospasm in a patient with Brugada-type electrocardiogram.

机译：Brugada型心电图患者中比西卡胺诱导的冠状动脉痉挛。

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A 65-year-old man with Brugada-type electrocardiogram (ECG) was admitted to our hospital for chest pain, palpitation and faintness. In the cardiac electrophysiological study, no ventricular tachyarrthymia was induced either at baseline or after pilsicainide (50 mg) infusion. Intravenous administration of pilsicainide exaggerated ST-segment elevation in V(1-4) and converted it to the coved type in V(1), accompanied by severe chest pain. Coronary angiography revealed the vasospasm of the right coronary artery was induced by pilsicainide, not by ergonovine. This is the first case report of coronary vasospasm induced by a pure sodium channel blocker in a patient with Brugada-type ECG.

机译：一名患有Brugada型心电图（ECG）的65岁男子因胸痛，心pa和昏厥入院。在心脏电生理研究中，在比色卡尼（50 mg）输注时或基线时均未诱发室性快速性心律失常。静脉注射比斯卡尼化物会夸大V（1-4）的ST段抬高，并将其转变为V（1）的凹陷型，并伴有严重的胸痛。冠状动脉造影显示右冠状动脉的血管痉挛是由比塞卡尼而非麦角新碱诱导的。这是Brugada型ECG患者纯钠通道阻滞剂诱发冠状动脉血管痉挛的首例病例报告。

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来源
《Circulation journal》 |2005年第7期|共3页
作者
Goda A; Yamashita T; Kato T; Koike A; Sagara K; Kirigaya H; Itoh H; Aizawa T; Fu LT;
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正文语种 eng
中图分类心脏、血管（循环系）疾病;
关键词
Anti-Arrhythmia Agents; Coronary Vasospasm; Heart Arrest; Lidocaine; 抗心律失常药; 冠状血管痉挛; 心脏骤停; 利多卡因;

机译：Anti-Arrhythmia Agents;Coronary Vasospasm;Heart Arrest;Lidocaine;抗心律失常药;冠状血管痉挛;心脏骤停;利多卡因;

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专利

1. Pilsicainide-induced coronary vasospasm in a patient with Brugada-type electrocardiogram. [J] . Goda A, Yamashita T, Kato T, Circulation journal . 2005,第7期

机译：Brugada型心电图患者中比西卡胺诱导的冠状动脉痉挛。
2. Right coronary cusp as a new window of ablation for pilsicainide-induced ventricular premature contractions in a patient with Brugada syndrome [J] . Yamasaki Hiro, Tada Hiroshi, Sekiguchi Yukio, Heart and vessels: An international journal . 2016,第8期

机译：右冠状动脉尖端作为Brugada综合征患者比西卡尼德引起的室性早搏消融的新窗口
3. Prevalence of Coronary Vasospasm Using Coronary Reactivity Testing in Patients With Spontaneous Coronary Artery Dissection [J] . Solaru Khendi White, Heupler Frederick, Cho Leslie, The American Journal of Cardiology . 2019,第11期

机译：自发性冠状动脉解剖患者冠状动脉反应性试验冠状动脉血管痉挛患病率
4. Primary percutaneous coronary intervention (ppci) of multivessel vasospasm in acute cardiac arrest [C] . Rolf T. International Congress on Coronary Artery Disease . 2011

机译：急性心脏骤停中多血管血管痉挛的主要经皮冠状动脉介入（PPCI）
5. A comparison of selected preoperative coronary artery disease risk factors in patients 40 years or younger and patients over 40 years undergoing coronary artery bypass graft surgery. [D] . Frye, Laurie Perry. 2002

机译：比较40岁以下的患者和40岁以上进行冠状动脉搭桥术的患者的术前选择的冠心病危险因素。
6. Six year follow up of a consecutive series of patients presenting to the coronary care unit with acute chest pain: prognostic importance of the electrocardiogram. [O] . M J Metcalfe, J M Rawles, C Shirreffs, 1990

机译：连续六年就诊于冠心病治疗单位的急性胸痛患者的随访：心电图的预后重要性。
7. Pilsicainide-Induced Coronary Vasospasm in a Patient With Brugada-Type Electrocardiogram [O] . Ayumi Goda, Takeshi Yamashita, Takeshi Kato, 2005

机译：Brugada型心电图的患者中毛皮诱导的冠状动脉痉挛

Pilsicainide-induced coronary vasospasm in a patient with Brugada-type electrocardiogram.

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