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작성일 : 16-03-13 20:18
논문번호 18
논문제목(영문) Successful management of intractable coronary spasm with a coronary stent.
국내외구분 국외 SCI여부 SCI(E)
연구책임자역할 교신저자
주저자명 Jeong MH
교신저자명 Jeong MH
공동저자명 Jeong MH, Park JC, Rhew JY, Kang KT, Lee SH, Cho JH, Kim NH, Kim KH, Ahn YK, Bae Y, Cho JG, Park JC, Kim SH, Kang JC;
게제년월일 2000-08-02
ISSN 0047-1828
Impact Factor 3.940
학술지명 Japanese circulation journal
서지사항 0집 / 64권 / 11호,   페이지(897 - 900)
요약초록문
(Abstract) 입력		 Although the long-term survival of patients suffering from coronary spasm is usually excellent, serious complications can develop, such as disabling pain, myocardial infarction, ventricular tachyarrhythmias, atrioventricular block and sudden cardiac death. A 40-year-old man who had intractable chest pain from coronary artery spasm suffered ventricular fibrillation and an acute anterior myocardial infarction upon first admission. The patient underwent a coronary angiogram, which revealed a spontaneous focal spasm at the proximal left anterior descending coronary artery (LAD). He was treated by the combination of nitrate and calcium channel blocker, but continued to complain of severe chest pain despite intensive medical therapy and he had to be treated in the emergency room 5 times during an 8-month follow-up period. An ergonovine coronary angiogram was performed and an intracoronary ultrasound examination, which revealed a focal spasm at the same site of the proximal LAD with a small amount of localized eccentric atheromatous plaque. A coronary artery stent was placed in the proximal LAD and his symptoms resolved. A follow-up coronary angiogram was performed 3 years after stenting and the stent remained patent without any in-stent restenosis or spasm.
파일  C16. Jpn Circ J. 2000;64(11)897-900..pdf (321.2K) DATE : 2016-03-14 11:49:25