Clinical and angiographic characteristics of acute myocardial infarction caused by vasospastic angina
- Author:
- No author available
- Journal Title:
- CHINA MEDICINE
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1673-4777.2010.06.002
- Key Word:
- 冠状动脉痉挛;急性心肌梗死;冠状动脉造影;Vasnspastic angina;Acute myocardial infarction;Coronary angiography
Abstract： Obicetive To analyze the role of vasospasm in acute myocardial infarction.Methods Retrospectively analysis of clinical characteristics of 12 patients suffering from acute myocardial infarction due to vasospasm from September 2006 to October 2009 was done.Results During 3-6 months follow-up, 2 patients were admitted to the hospital because of repeat anginal attacks, 2 patients in which stent placement was performed were free of chest pain.the other 8 patients were asymptomatic.Conclusions CCBs and nitrates are strongly recommended for improving the prognosis of coronary spasm, but in many cases they do not suppress completely symptoms.Interventional treatment in vasospastic angina is still controversial.Our observations indicate that in patients with acute myocardial infarction in course of variant angina, stunt implantation may prevent repeat attacks.
- [1]孟先,张大鹏,杨新春.急诊经皮冠状动脉介入术治疗急性心肌梗死不良预后影响因素[J].2009,(1).
- [2]Aizawa Y,Oohara K,Veeraveedu PT,etc.The optimal cut-off point of C-reactive protein as an optional component of metabolic syndrome in Japan.[J].2006,70(4).
- [3]Yoshimura M,Harada E,Itoh T,etc.Coronary spasm is associated with chronic low-grade inflammation.[J].2007,71(7).
- [4]Hiroshi Sakamoto,Tsuneharu Kosuga,Tomohisa Nagoshi,etc.High Incidence of Repeat Anginal Attacks Despite Treatment With Calcium-Channel Blockers in Patients With Coronary Spastic Angina[J].2009,73(3).
- [5]Mitsuhashi H,Wada K,Yatsuya H,etc.High-sensitivity C-reactive protein is quite low in Japanese men at high coronary risk.[J].2007,71(6).