Vasospastic Angina as a Cause of Post-Acute Sequelae of COVID-19.

IF 1.2 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

International heart journal Pub Date : 2025-05-31 Epub Date: 2025-05-15 DOI:10.1536/ihj.24-795

Tadao Aikawa, Jiro Ogino, Naohiro Funayama, Noriko Oyama-Manabe, Tohru Minamino

引用次数: 0

Abstract

Diagnosing the cause of post-acute sequelae of COVID-19 (PASC, also known as long COVID)-related chest pain is often challenging in patients with a low pre-test probability of coronary artery disease. In a retrospective review of 273 consecutive patients who presented to the cardiovascular outpatient unit for cardiovascular PASC at the Hokkaido Cardiovascular Hospital, Japan, 8 patients were suspected to have vasospastic angina (VSA) and underwent acetylcholine provocation testing, 5 of whom (1.8%, 5/273) were newly diagnosed with VSA. Although the causal relationship between VSA and PASC should be studied further, the present study suggests that VSA can be a potential cause of chest pain in patients with PASC.

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血管痉挛性心绞痛是COVID-19急性后后遗症的一个原因。

在冠状动脉疾病检测前概率较低的患者中，诊断COVID-19急性后后遗症（PASC，也称为长COVID）相关胸痛的原因通常具有挑战性。回顾性分析日本北海道心血管医院心血管门诊收治的连续273例心血管PASC患者，其中8例疑似血管痉挛性心绞痛（VSA），接受了乙酰胆碱激发试验，其中5例（1.8%,5/273）为新诊断的VSA。尽管VSA和PASC之间的因果关系有待进一步研究，但目前的研究表明VSA可能是PASC患者胸痛的潜在原因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International heart journal 医学-心血管系统

CiteScore

2.50

自引率

6.70%

发文量

148

审稿时长

6-12 weeks

期刊介绍： Authors of research articles should disclose at the time of submission any financial arrangement they may have with a company whose product figures prominently in the submitted manuscript or with a company making a competing product. Such information will be held in confidence while the paper is under review and will not influence the editorial decision, but if the article is accepted for publication, the editors will usually discuss with the authors the manner in which such information is to be communicated to the reader.