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缺血性心脏病最常见的原因是冠脉粥样硬化和痉挛,因心壁肌桥下冠脉受压所致者甚为少见,国内尚未见报道,本文报告1例.患者,男,50岁.于1990年6月11日入院.主诉于13年前开始出现心前区隐痛和闷痛,就诊前4月胸痛加重,活动或情绪激动时疼痛放射至左肩胛区,并伴针刺感,休息后针刺感消失.体检:P78次/分,R18次/分,BP15/10kPa.心界不扩大,心律齐,无杂音.超声心动图及购片检查无异常发现.心电图示窦性心律,不完全性右束支传导阻滞,Ⅱ、Ⅲ、aVR、aVF及V_1～V_5导联T波倒置,Ⅱ、aVF和V_3导联ST段水平下移0.05mV,V_5导联ST段水平,下移0.1mV(图1).Bruce方案平板运动试验运动至第Ⅲ级(运动时
Ischemic heart disease is the most common cause of coronary atherosclerosis and spasm, due to myocardial infarction under the bridge of coronary artery pressure is very rare, has not been reported in the country, this report 1 case. Was admitted to hospital on June 11, 1990. The chief complaint was the onset of pain and nausea in the precordial area 13 years ago. Chest pain was aggravated in April prior to the visit, and the pain was radiated to the left shoulder region with agitation or agitation with acupuncture , Rest after acupuncture disappeared. Physical examination: P78 beats / min, R18 beats / min, BP15 / 10kPa. Heart does not expand, rhythm Qi, no noise. Echocardiography and purchase inspection no abnormality. T wave inversion of Ⅱ, Ⅲ, aVR, aVF and V_1 ~ V_5 leads, ST segment of Ⅱ, aVF and V_3 leads down 0.05mV, ST segment of V_5 leads , Down 0.1mV (Figure 1) Bruce program treadmill exercise test to level Ⅲ (exercise