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自从Prizmetal等最初叙述了不寻常的变异型心绞痛的临床特征以来,已经引起对此证的注意。此型心绞痛与典型心绞痛是不同的,其主要临床特点为休息时发生自发性绞痛、明显的S—T段上升,并发心律失常及心电图运动试验阴性。由于本病有严重的心律失常和猝死的重大可能,目前倾向于早期行冠状动脉造影以明确单一大冠状血管的阻塞。以下详述3个附加病例,并讨论诊
Since Prizmetal et al. Originally described the clinical features of unusual variant angina, attention has been drawn to this evidence. This type of angina pectoris and typical angina are different, the main clinical features of spontaneous angina at rest, significant rise in S-T segment, arrhythmia and electrocardiogram test negative. Due to the serious possibility of arrhythmia and sudden death in this disease, coronary angiography is currently preferred in order to clarify the obstruction of a single large coronary artery. Three additional cases are described in detail below, and consultation is discussed