Coronary artery spasm: Is ST-elevation key for diagnosis?

P. Villablanca, David F Briceño, Anand D. Jagannath, Martin N. Cohen, R. Pyo
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引用次数: 1

Abstract

Coronary vasospasm is uncommon during pregnancy and the postpartum period. We present a very rare case of an acute coronary vasospasm in a 36-year-old woman who was two weeks postpartum. The coronary arteriograms showed a coronary vasospasm in the distal left anterior descending and circumflex coronary arteries. Electrocardiogram (ECG) presentation was atypical, with T-wave inversions in leads I, aVL, and V2 to V6. To our knowledge, this is the first case with a well-documented coronary artery vasospasm in a postpartum woman without the classic ST elevation on ECG. Management should follow the usual principles of care for acute coronary vasospasm.
冠状动脉痉挛:st段抬高是诊断的关键吗?
冠状血管痉挛在妊娠期和产后并不常见。我们提出一个非常罕见的病例急性冠状动脉痉挛在一个36岁的妇女谁是产后两周。冠状动脉造影显示左前降支和旋支远端冠状动脉血管痉挛。心电图表现不典型,导联I、aVL和V2至V6的t波反转。据我们所知,这是第一例有充分记录的产后女性冠状动脉血管痉挛,而心电图上没有典型的ST段抬高。治疗应遵循急性冠状血管痉挛的一般护理原则。
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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