A Case of Vasospastic Angina Presenting Brugada-Type ECG Abnormalities
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概要
- 論文の詳細を見る
An electrophysiological study and a provocative test of coronary artery spasm was attempted in a 68-year-old man who was having syncopal attacks and chest pain. His electrocardiogram had the characteristics of Brugada syndrome and ventricular fibrillation(VF)was induced by programmed electrical stimulation. ST-segment elevation became exaggerated by procainamide, which could not prevent the induction of VF. Coronary angiography revealed no stenotic lesions, and spasm in the left coronary artery was induced by intracoronary administration of acetylcholine with similar chest pain to that experienced before. Under treatment with diltiazem and flecainide, which suppressed the induction of VF, the patient experienced no recurrence of symptoms despite persistent ST-segment elevation. No previous reports have described coronary spasm associated with Brugada-type ECG abnormalities, and patients with syncope should be evaluated carefully.
- 社団法人日本循環器学会の論文
- 1999-05-20
著者
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TANABE Yasuhiko
Department of Cardiology, Niigata Prefectural Shibata Hospital
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Tanabe Yasuhiko
Department Of Internal Medicine Niigata Prefectural Shibata Hospital
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Suzuki Kaoru
Departments of Electrical Engineering, College of Science and Technology, Nihon University
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Tanabe Yasuhiko
Department Of Cardiology Niigata Prefectural Shibata Hospital
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Itoh Eiichi
Department of Cardiology, Niigata Prefectural Shibata Hospital
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Itoh Eiichi
Department Of Cardiology Niigata City General Hospital
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Itoh Eiichi
Department Of Cardiology Niigata Prefectural Shibata Hospital
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Suzuki Kaoru
Department Of Basic Human Sciences School Of Human Sciences Waseda University
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Suzuki Kaoru
Department Of Cardiology Niigata Prefectural Shibata Hospital
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Suzuki Kaoru
Department Of Applied Chemistry Faculty Of Science Science University Of Tokyo
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