由血管扩张药直接引起心肌梗塞者很少,我院收治一例、报道如下: 患者男,65岁,因心累、气短6月、心前区疼痛20天,于1990年11月20日入院。入院后常因下床轻微活动或情绪激动诱发胸骨后疼痛、伴胸闷、气短、出汗。有时疼痛放射到上腹部。偶感左上肢麻木、每次持续数秒致数分钟可自行缓解。口服常规量消心痛或心痛定,症状立即好转。心电图示胸导联V_1—V_6广泛ST段压低0.05～0.1mv。运动试验阳性、小剂量潘生丁试验 A direct result of vasodilators caused by myocardial infarction in our hospital admitted to a case, reported as follows: The patient male, 65 years old, due to heart tired, shortness of breath in June, precordial pain for 20 days, on November 20, 1990 admission. After admission, often due to get out of bed mild activity or agitation induced chest pain, with chest tightness, shortness of breath, sweating. Sometimes the pain radiates to the upper abdomen. I feel numbness of the left upper limb, each lasting several seconds to a few minutes can ease themselves. Regular oral administration of heartburn or painkillers, the symptoms immediately improved. Electrocardiogram chest lead V_1-V_6 extensive ST segment depression 0.05 ~ 0.1mv. Exercise test positive, low-dose dipyridamole test