变异性心绞痛是心绞痛的另一种类型.以疼痛时间长,病情重,多在休息或一般活动时发作.心电图改变特异,预后差为其特点.国内报告较少,现报告两例.例一、梁某,男,54岁.因高血压病5年,阵发性心前区疼痛4个月,加重20天入院.心前区剧痛伴胸闷,气促,出冷汗。每日发作数次,经休息、含硝酸甘油片或吸入亚硝酸异戍酯后可缓解。入院检查 P80次/分,Bp145/120mmHg.颈静脉无怒张,双肺正常.心界略向左扩大,心率80次/分,节律整齐.主动脉瓣第二音亢进,呈金属调。肝脾不大,腹部未闻及血管杂音,下肢轻度水肿.心电图:STv_5、v_6水平下移0.075～0.10毫伏.TⅠ、Ⅱ、avF、V_3～V_6倒置呈“冠状 T 波”.化验:血、尿常规正常.血胆固醇、β—脂蛋白、血清谷草转氨酶、肌酸磷酸激酶均 Variant angina pectoris is another type of angina.A long time to pain, severe illness, and more at rest or general activity seizures.Electrocardiogram changespecific, poor prognosis for its characteristics.Reported less domestic, two cases are reported.Example 1 , Liangmou, male, 54 years old due to hypertension for 5 years, paroxysmal pain in the anterior chamber 4 months, increased 20 days admitted to the hospital .Area of ​​acute precordial pain with chest tightness, shortness of breath, a cold sweat. Several times a day attack, after a break, with nitroglycerin tablets or inhalation of isonitration nitrous oxide can be alleviated. Admission examination P80 beats / min, Bp145 / 120mmHg.Jugular vein without anger, normal lungs.The heart of the heart to the left to expand, heart rate 80 beats / min, rhythm.Aortic valve second tone hyperthyroidism, was metal tone. ECG: STv_5, v_6 level down 0.075 ~ 0.10 mV. T Ⅰ, Ⅱ, avF, V_3 ~ V_6 upside down was “coronary T wave.” Test: Blood, urine routine normal blood cholesterol, β-lipoprotein, serum aspartate aminotransferase, creatine phosphokinase were