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1病例报告患者男,56岁。因阵发性胸闷、胸痛10年余,加重1周入院。10年来,每逢劳累或情绪激动时即出现阵发性心前区隐痛,伴胸闷、大汗,持续3~5min,含服硝酸甘油或休息可缓解,无放射痛,无呼吸困难。心电图检查提示Ⅲ、aVF导联ST段轻度下移。拟行冠状动脉造影检查收入院。既往高血压病10年余,血压最高达220/153mmHg,时有头痛,口服厄贝沙坦、硝苯地平治疗,血压控制在160~170/100~110mmHg;脑梗死病史
A case report male patient, 56 years old. Due to paroxysmal chest tightness, chest pain more than 10 years, increased 1 week admission. Over the past 10 years, whenever fatigue or emotional excitement occurs when the paroxysmal anterior area pain, chest tightness, sweating, sustained 3 ~ 5min, containing nitroglycerin or rest can ease, no radiating pain, no breathing difficulties. ECG examination prompted Ⅲ, aVF lead ST segment slightly down. To be performed coronary angiography hospital. Previous hypertension more than 10 years, blood pressure up to 220 / 153mmHg, when headache, oral irbesartan, nifedipine treatment, blood pressure control in 160 ~ 170/100 ~ 110mmHg; history of cerebral infarction