Left coronary artery left ventricle fistula with right coronary artery spasm

被引：1
|
作者：
Komukai, K [1 ]
Muto, M
Imai, K
Hashimoto, K
Iwano, K
Mogi, J
Shibata, T
Horie, T
Mochizuki, S
机构：
[1] Saitama Cardiovasc & Resp Ctr, Dept Cardiol, Konan, Saitama 3600105, Japan
[2] Jikei Univ, Sch Med, Dept Internal Med 4, Tokyo, Japan
来源：
JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION | 1998年 / 62卷 / 09期
关键词：
chest pain; fistula; spasm;
D O I：
10.1253/jcj.62.704
中图分类号：
N09 [自然科学史]; B [哲学、宗教];
学科分类号：
01 ; 0101 ; 010108 ; 060207 ; 060305 ; 0712 ;
摘要：
A 72-year-old woman was admitted to our hospital for evaluation of chest pain. Coronary angiography showed a left coronary artery-left ventricle fistula. An acetylcholine provocation test induced vasoconstriction of the right but not the left coronary artery. Her chest pain was not relieved by combined therapy with isosorbide dinitrate, diltiazem and nicorandil. Because of the coronary spasm, beta-blockers could not be used. However, her chest pain was relieved after the administration of a minor tranquilizer. Thus, the patient's chest pain was unlikely to be associated with either the fistula or the coronary spasm.
引用
收藏
页码：704 / 706
页数：3
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