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1959年Prinzmetal等报告一种类型的心绞痛,不具备典型心绞痛的特点,称为反向性心绞痛(inverse angina)——变异型心绞痛临床特点 1.发病年龄较轻,以40-60岁多见,男性比女性多见。 2.心绞痛多在休息或一般日常活动时发生,不因心脏工作明显增加而诱发,疼痛性质、部位与典型心绞痛相同,但疼痛较重,持续时间较长,发作呈周期性,休息不能使疼痛减轻,硝酸甘油可使之缓解,有些患者劳动及休息时均可发生。 3.心绞痛发作时多个导联ST段明显上抬,凹面向上,T波高耸,对应导联出现ST段下移。疼痛停止后心电图很快
1959 Prinzmetal et al reported a type of angina that does not have the typical characteristics of angina known as inverse angina - variant angina clinical features 1. Older age, more common in 40-60 years old, Men are more common than women. Angina mostly in rest or normal daily activities, not due to a significant increase in heart work induced pain, the same site and typical angina, but the pain was heavier, longer duration, seizures were periodic, rest can not make the pain Reduce, nitroglycerin can make it ease, some patients work and rest may occur. 3. Angina pectoris multiple leads ST segment elevation, concave upward, T wave towering, the corresponding leads appear ST segment down. After the pain stopped ECG fast