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작성일 : 16-03-13 19:42
논문번호 8
논문제목(영문) Successful management of intractable coronary spasm by a coronary stent.
국내외구분 국내 SCI여부 SCI(E)
연구책임자역할 교신저자
주저자명 Cho JH
교신저자명 Jeong MH
공동저자명 Cho JH, Jeong MH, Ahn YK, Cho JG, Park JC, Kang JC;
게제년월일 1998-07-31
ISSN 1738-5520
Impact Factor 0.753
학술지명 Korean Circulation J
서지사항 0집 / 28권 / 7호,   페이지(1207 - 1210)
요약초록문
(Abstract) 입력		 Variant angina is characterized by episodic angina due to spasm of an epicardial coronary artery at rest and concomitant transient ST elevation on electrocardiogram. While long-term survival of coronary spasm is usually excellent, but serious complications can be developed such as disabling pain, myocardial infarction, ventricular tachyarrhythmias, atrioventricular block and sudden cardiac death. We experienced 40 year-old man with intractable chest pain due to coronary artery spasm, who suffered from ventricular fibrillation and acute anterior myocardial infarction at the first admission. The patient underwent coronary angiogram, which
revealed spontaneous focal spasm at the proximal left anterior descending coronary artery (LAD). He was treated by the combination of nitrate and calcium channel blocker. However, he complained of severe chest pain despite intensive medical therapy and visited emergency room 5 times during 8-month follow-up. We performed ergonovine coronary angiogram and intracoronary ultrasound, which revealed focal spasm at same site of proximal LAD with small amount of localized eccentric atheromatous plaque. Thus we placed coronary artery stent (3.0×24 mm GFX stent) at proximal LAD and his symptom was resolved after stenting. We performed follow-up coronary angiogram at 9 months after stenting and stent was patent without any stent recoil and in-stent restenosis.
파일  C8. Korean Circulation J 1998;28(7)1207-1210..pdf (4.9M) DATE : 2016-03-13 19:42:56