變異型心絞痛併房室傳導阻斷：一病例報告

Variant Angina Complicated with AV Block: A Case Report

楊永年(Yung-Nien Yang) ； 焦錫孝(Shyi-Shiaw Jiau) ； 王賡堯(Gern-Yao Wang) ； 葉祖青(Tsu-Ching Yeh) ； 陳雲亮(Wan-Liang Chan)

《中華民國急救加護醫學會雜誌》 9卷4期 (1998/12) Pp. 175-180

https://doi.org/10.30018/JECCM.199812.0009

摘要

變異型心絞痛主要因冠狀動脈痙孿所引起，它可發生於正常之冠狀動脈或阻塞性冠狀動脈疾病，可併姿不同的心律不整及臨床症狀。我們報告一位四十四歲男性，突發胸痛，心電圖顯示Ⅱ,Ⅲ, aVF之ST節段上升及完全性房室傳導阻斷，不久ST節段回複至正常水平，進一步冠狀動脈攝影正常，我們針對此現象，回顧文獻，做進一步討論。

關鍵字

變異型心絞痛 ； 房室傳導阻斷 ； 心律不整

並列摘要

Variant angina is caused by coronary spasm. It could occur in normal coronary artery or occlusive coronary disease, and complicated with various dysrhythmia and clinical manifestations. We reported a 44-year-old man with sudden onset of chest pain. The electrocardiography revealed ST segment elevation in the II, III, aVF with complete AV block, but the ST segment returned to the baseline later. The coronary angiography proved to be normal coronary artery, and transient right coronary artery spasm associated with 2:1 AV block was demonstrated. We reviewed the related literatures for further discussion.

並列關鍵字

variant angina ； A V block ； dysrhythmia