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首页> 外文期刊>Internal medicine. >Intravascular ultrasound-guided coronary artery stenting for spontaneous coronary artery dissection in a case of acute myocardial infarction associated with vasospasm in a non-culprit coronary artery during the hospitalization.
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Intravascular ultrasound-guided coronary artery stenting for spontaneous coronary artery dissection in a case of acute myocardial infarction associated with vasospasm in a non-culprit coronary artery during the hospitalization.

机译:在住院期间,在非罪犯冠状动脉伴有血管痉挛的急性心肌梗死病例中,血管内超声引导冠状动脉支架置入术可自发进行冠状动脉解剖。

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摘要

We report a case of spontaneous coronary artery dissection (SCAD) causing acute myocardial infarction, which was complicated by vasospastic angina (VA). The patient received intravenous administration of t-PA. Emergency coronary angiography demonstrated narrowing of the left anterior descending artery (LAD) due to SCAD. During hospitalization, the patient suffered chest pain, and ECG showed ST elevation in the inferior leads. Sublingual administration of nitroglycerin provided temporary remission. Coronary stent implantation was performed electively using intravascular ultrasound imaging. This is the first reported case of SCAD associated with vasospasm in a non-culprit coronary artery during the hospitalization.
机译:我们报告一例自发性冠状动脉夹层(SCAD)引起急性心肌梗死,并发血管痉挛性心绞痛(VA)。患者接受了t-PA的静脉注射。紧急冠状动脉造影显示由于SCAD导致左前降支(LAD)变窄。住院期间,患者遭受胸痛,心电图显示下导联ST升高。舌下给予硝酸甘油可暂时缓解症状。冠状动脉支架植入术是使用血管内超声成像选择性进行的。这是住院期间非罪犯冠状动脉中与血管痉挛相关的SCAD的第一例报道病例。

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