患者51岁,静止时心前区疼痛反复发作12个月,每日发作1～5次。自发性心前区疼痛发作时,监测导联V_5可见ST段抬高,连续酶学和心电图监测已除外心肌梗塞,冠状动脉造影正常,诊断为变异型心绞痛,硝酸盐治疗无效。改服异搏定,每次80毫克,日四次。给予异搏定后24小时内,症状迅速消失,观察25个月,无心绞痛发作。 51-year-old patient, resting anterior precordial pain recurrent for 12 months, 1 to 5 episodes per day. Spontaneous pre-anorexia episodes of pain, the monitoring lead V_5 visible ST elevation, continuous enzymology and ECG monitoring have been excluded myocardial infarction, coronary angiography is normal, the diagnosis of variant angina, nitrate therapy ineffective. Change clothes verapamil, each 80 mg, four times a day. Within 24 hours after giving verapamil, the symptoms disappeared rapidly and were observed for 25 months without angina pectoris.