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变异型心绞痛是Prinzmetal等于1959年首先报道和命名的,其主要特点是心绞痛多发生在休息时或轻微活动时,运动和情绪激动并不诱发,发作时心肌缺血部位的ST段抬高。当时认为是由于某一支冠状动脉主干有狭窄,同时发生冠状动脉痉挛所致。自从冠状动脉造影术普遍应用以来及心电图记录技术的进展,发现变异型心绞痛并不少见,也证实冠状动脉痉挛是引起此综合征的主要原因,但有的患者冠状状动脉病变并不严重,甚至正常。冠状动
Variant angina was first reported and named by Prinzmetal et al. In 1959. The main characteristic of angina is that angina pectoris occurs mostly at rest or slight activity, which is not induced by agitation and emotion. ST segment elevation at the myocardial ischemic site during seizure. Was believed to be due to a coronary artery stenosis, at the same time due to coronary spasm. Since the widespread use of coronary angiography and ECG recording technology, found that variant angina is not uncommon, also confirmed that coronary artery spasm is the main cause of this syndrome, but some patients with coronary artery disease is not serious, or even normal. Coronary