【摘要】 1990年1月～1994年8月共收治变异型心绞痛23例,其中5例合并严重心律失常:Ⅲ度AVB 2例、室速3例、其中1例合并室颤。此5例均为男性,年龄39～51岁,平均年龄43岁。经冠脉造影证实除1例左回旋支狭窄<50％外,余皆正常。轻度或没有冠脉狭窄的患者发生变异型心绞痛导致严重心律失常,可能与冠脉痉挛的范围及没有建立侧支循环有关。5例服用心痛定10mg日3次或硫氮(艹卓)酮30mg日3次,1例因反复发生Ⅲ度AVB、一次窦性停博而安置DDD型永久起搏器。经5个月～3年半的治疗、临床观察未再现类似发作。更多还原

【Abstract】 Fivc patients with variant angina complicaterl with serious arrhythmiasdll AVB 2 cases,ven-rricular tachvcardia 2 cases and ventricular fihrillation i castOwcre observed by clinicnl evaluation and coronary angiography ,clinical angiographical resuit was norniai m four cases and less than 50% narrowing of left circumflex artery in one case. Smoking is one of factors niducing coronary spasm. Caleum antagonists produce good therapeutical eiiects on pauents with variant angina. Permanent pacemaker vs available for patients with variant angina cornplicated by serious heart block.更多还原