变异型心绞痛以腹痛、晕厥为突发症状,国内病列报道罕见,现将我院所遇1例报道如下。患者男,57岁。因发作性胸闷、心悸8个月,于1987年4月17日入院。发作与劳累或精神刺激有关,内服硝酸甘油片、消心痛有效。查体:P75次/分,BP17.6/12kPa。心界不大,心率75次/分,闻及早搏、呈联律,各瓣膜区未闻及病理性杂音。肺部(一)。腹部未见异常。胸片正常。心电图示室性早搏、三联律、室性并行心律。ST_(Ⅱ、Ⅲ、aVF)抬高0.05～0.075mv,T_(Ⅱ、aVF)略高尖(图1,无心绞痛时描记)。住院期间心绞痛反 Variant angina with abdominal pain, syncope as a sudden symptom, the domestic disease reported rare, now in our hospital encountered a case reported as follows. Male patient, 57 years old. Because of the onset of chest tightness, palpitations 8 months, on April 17, 1987 admission. Seizures and fatigue or mental stimulation, oral nitroglycerin tablets, anti-heartache effective. Physical examination: P75 beats / min, BP17.6 / 12kPa. Heart is not, heart rate 75 beats / min, smell and premature beats, was Lian law, the valve area is not known and pathological murmur. Lung (a). No abnormal abdomen. Normal chest X-ray. ECG premature ventricular contractions, triple the law, ventricular heart rate. ST_ (Ⅱ, Ⅲ, aVF) elevation 0.05 ~ 0.075mv, T_ (Ⅱ, aVF) slightly higher tip (Figure 1, no angina pectoris). Angina pectoris during hospitalization