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1959年,普林兹梅特尔曾描述变异型心绞痛与典型心绞痛的区别:(1)心绞痛发生于休息或一般活动时,与劳动或情绪激动无关;(2)疼痛程度较重,时间较长,用硝酸甘油可缓解;(3)发作有时呈周期性特点,常在白天或夜间同一时间出现;(4)较重的发作伴有心电图若干导联上ST段抬高及对应导联上ST段压低,有时R波增高,但无异常Q波;这些改变为短暂的,随疼痛缓解而消失;(5)发作时心律失常特别是室性异位心律失常较为
In 1959, Prinzmetl described the difference between variant angina and classical angina: (1) angina occurs at rest or in general without regard to labor or emotional agitation; (2) the pain is severe and prolonged , With nitroglycerin can ease; (3) the onset is sometimes periodic characteristics, often at daytime or at night at the same time appear; (4) heavier seizures accompanied by ECG lead on the ST segment elevation and the corresponding leads ST Segment depression, and sometimes R wave increased, but no abnormal Q waves; these changes for the short, with pain relief and disappear; (5) attack arrhythmias, especially ventricular arrhythmias more