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变异型心绞痛的发作诱因和合并症

INDUCEMENT AND COMPLICATION OF VARIANT ANGINA
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摘要 本文报告3例饮酒诱发变异型心绞痛者,2例发展为急性心肌梗塞,1例合并Ⅲ度房室传导阻滞.另3例无诱因的典型变异型心绞痛发作皆无合并症.上述结果提示:饮酒是变异型心绞痛发作的最常见诱因,与无诱因者相比,予后更为严重.因此,有冠状动脉痉挛倾向者如变异型心绞痛,不稳定型心绞痛,卧位或夜间发作的心绞痛等,应避免饮酒. This paper reports 3 cases of variant angina induced by alcohol and 3 cases of typical variant angina with no apparent inducement in the former 2 cases developed acute myocardial infarction and 1 case Ⅲ° atrial ventricular block,while in the latter no complica- tion was found.The results suggest alcohol ingestion is the most common inducement of variant angina,and the prognosis is more severe in contrast with that of the cases with no inducement. Hence,it is necessary to avoid alcohol ingestion for patients with coronary arterial vasospasm, such as variant angina,unstable angina or angina pectoris which occurs in decumbitus or at night.
出处 《皖南医学院学报》 CAS 1992年第1期23-25,共3页 Journal of Wannan Medical College
关键词 心绞痛 变异型 酗酒 心肌梗塞 angina pectoris variant skidrow alcoholics myocardial infaretion
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