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某女士,今年45岁,有心绞痛样胸痛史5年余。胸骨后常感闷痛不适,似有压缩感,有时痛向肩臂放射。劳累或精神紧张后易诱发,休息或舌下含药后可缓解。无高血压,两年前曾做24小时动态心电图检查,提示有心肌缺血表现。医生诊断为冠心病心绞痛,但该女士服用抗心绞痛药物,却效果欠佳。该女士已绝经,有阵发性潮热发作,伴出汗多、心烦。每于冬季,心绞痛样胸痛就发作频繁,检查有早搏。最近她做了冠状动脉造影检查,未见冠状动脉及其分支有狭窄,也未见血管痉挛现象。为此医生诊断为“X综合征”。
A lady, 45 years old this year, has a history of angina-like chest pain more than 5 years. After the common sense of the chest pain and discomfort, like a sense of compression, and sometimes pain to the shoulder arm radiation. After exertion or mental stress, it is easy to induce, rest or sublingual medicine can relieve. No high blood pressure, two years ago had a 24-hour Holter examination, suggesting myocardial ischemia performance. The doctor diagnosed coronary heart disease angina, but the woman taking anti-anginal drugs, but the effect is not good. The lady has menopause, paroxysmal hot flashes, sweating more, upset. Every winter, angina-like chest pain frequently attack, check for premature beats. Recently, she did a coronary angiography, no coronary artery and its branches are stenosed, nor vasospasm. For this reason the doctor diagnosed as “Syndrome X.”