不寻常的复发性多血管冠状动脉痉挛：病例报告和文献综述

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Noninvasive Electrocardiology Pub Date : 2024-10-12 DOI:10.1111/anec.70019

Alhareth M. Amro, Mohammad Yasini, Ghayda' Sharif, Mohammed Nassr

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引用次数: 0

摘要

冠状动脉痉挛（CAS）的表现形式多种多样，从无声的缺血到严重的心脏事件，如心肌梗死和猝死。本病例涉及一名 56 岁的男性，他反复出现缺血性胸痛和不同的心电图征象。心导管检查发现多发性冠状动脉痉挛，这些痉挛可自行缓解或在冠状动脉内注射硝酸甘油后缓解。该报告强调了多发性冠状动脉痉挛的严重表现，以及进行彻底诊断评估以避免不必要干预的重要性，突出了处理此类病例的诊断挑战。

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Unusual Recurrent Multivessel Coronary Artery Spasm: A Case Report and Literature Review

Coronary artery spasms (CAS) can manifest in various forms, from silent ischemia to severe cardiac events like myocardial infarction and sudden death. This case involves a 56-year-old male with recurrent ischemic chest pain and varying ECG signs. Cardiac catheterization revealed multiple coronary spasms that resolved spontaneously or with intracoronary nitroglycerin. The report emphasizes the severe presentations of multiple CAS and the importance of thorough diagnostic evaluation to avoid unnecessary interventions, highlighting the diagnostic challenges in managing such cases.

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来源期刊

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.