ACUTE MYOCARDIAL-INFARCTION DURING PREGNANCY CAUSED BY CORONARY-ARTERY SPASM

被引：10
|
作者：
MAEKAWA, K [1 ]
OHNISHI, H [1 ]
HIRASE, T [1 ]
YAMADA, T [1 ]
MATSUO, T [1 ]
机构：
[1] HYOGO PREFECTURAL AWAJI HOSP,DEPT INTERNAL MED,SUMOTO,JAPAN
来源：
JOURNAL OF INTERNAL MEDICINE | 1994年 / 235卷 / 05期
关键词：
ACUTE MYOCARDIAL INFARCTION; CORONARY ARTERY SPASM; PREGNANCY;
D O I：
10.1111/j.1365-2796.1994.tb01108.x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 33-year-old pregnant woman suffered from acute anteroseptal myocardial infarction at the 19th gestational week. Despite periodic attacks of myocardial ischaemia after admission, the coronary arteriograms under the use of nitroglycerin were normal. Thereafter, she remained free from the ischaemic events with diltiazem hydrochloride and delivered a healthy baby. The coronary arteriography at puerperium also showed no organic narrowing. However, the provocative test with acetylcholine chloride caused severe spasm of the left anterior descending coronary artery. These findings strongly suggest that acute myocardial infarction in this pregnant woman was caused by coronary artery spasm.
引用
收藏
页码：489 / 492
页数：4
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