ANGIOSCOPY IN VARIANT ANGINA - CORONARY-ARTERY SPASM AND INTIMAL INJURY

被引:25
作者
ETSUDA, H [1 ]
MIZUNO, K [1 ]
ARAKAWA, K [1 ]
SATOMURA, K [1 ]
SHIBUYA, T [1 ]
ISOJIMA, K [1 ]
机构
[1] NATL DEF MED COLL,DEPT INTERNAL MED 1,3-2 NAMIKI,TOKOROZAWA,SAITAMA 359,JAPAN
关键词
D O I
10.1016/0140-6736(93)92245-O
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Studies in pigs and dogs show that intimal injury is related to coronary artery spasm; it is not known whether intimal injury is related to coronary artery spasm in human beings. We examined intima at the site of coronary artery spasm by percutaneous transluminal coronary angioscopy in 10 of 13 consecutive patients with variant angina. Coronary artery spasms occurred spontaneously or were induced by intracoronary acetylcholine (10-100 mug). Angioscopy showed intimal injuries (haemorrhage, flap, thrombus, or ulcer) in 4 of the 10. We suggest that intimal injury is related to coronary artery spasm in human beings.
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收藏
页码:1322 / 1324
页数:3
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