지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 68 - 75 (8page)
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초록· 키워드
오류제보하기
Variant angina pectoris (VAP) is a special type of unstable angina with coronary artery spasm as the main pathogenesis, characterized by resting chest pain, and transient ST segment dynamic changes. The development of acute myocardial infarction is not uncommon. We report a case of a 49-year-old female patient diagnosed with VAP at 2 years before who suddenly suffered severe chest pain. Troponin-I was elevated. Immediate coronary angiography showed near-total occlusion in the proximal left anterior descending artery, which was not fully dilated despite use of intracoronary nitroglycerin. Intravascular ultrasound showed focal significant stenosis with a large amount of plaque at the site of spasm and the lesion was successfully treated with drug-eluting stent placement. Intravascular imaging may be instrumental in high-risk patients with VAP who suffer recurrent chest pain despite intensive anti-spasm medications.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Prinzmetal M / 1959 / Angina pectoris. I. A variant form of angina pectoris; preliminary report / Am J Med 27:375~388
Hung MJ / 2014 / Coronary artery spasm: review and update / Int J Med Sci 11:1161~1171
Slavich M / 2016 / Coronary artery spasm: current knowledge and residual uncertainties / Int J Cardiol Heart Vasc 10:47~53
Shin DI / 2015 / The 24-month prognosis of patients with positive or intermediate results in the intracoronary ergonovine provocation test / JACC Cardiovasc Interv 8:914~923
Lanza GA / 2007 / Current clinical features, diagnostic assessment and prognostic determinants of patients with variant angina / Int J Cardiol 118:41~47
Hung MJ / 2014 / Coronary artery spasm: review and update / Int J Med Sci 11:1161~1171
Slavich M / 2016 / Coronary artery spasm: current knowledge and residual uncertainties / Int J Cardiol Heart Vasc 10:47~53
Shin DI / 2015 / The 24-month prognosis of patients with positive or intermediate results in the intracoronary ergonovine provocation test / JACC Cardiovasc Interv 8:914~923
Lanza GA / 2007 / Current clinical features, diagnostic assessment and prognostic determinants of patients with variant angina / Int J Cardiol 118:41~47
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