1、Case Report病例报告Shengjing Hospital of China Medical University中国医科大学附属盛京医院Wenyue Pang庞文跃Patient name: PanXX, Sex: Male, Age: 64 years患者潘 XX，男， 64Was hospitalized with the chief complaint “remittent chest pain for 5 years with attenuation for 1 week”. 因 “间断胸痛 5年，加重 1周 ”为主诉入院Clinic Data 临床资料Clinic Data
2、 临床资料 Past history: hypertension for 7 years. Smoke 20 cigarettes per day for 30 years. 既往有高血压病史 7年。吸烟 20支 /天 30年 Physical examination: BP150/95mmHg， the cardiac boarder enlarged to the left and lower. HR 72 bpm, without cardiac murmur. 体检： BP150/95mmHg，心界左下扩大，HR72次 /分，无杂音Clinic Data 临床资料ECG： Leads
3、V1-V5 ST segments depressed for 0.05mVECG： V1-V5导联 ST段下移 0.05mV；PDE： LV=57.4mm； EF=61%Clinic Data 临床资料Coronary artery CT： Left major-left anterior descending (LAD) branch proximal and medial segments severe stenosis; left circumflex (LCX) proximal segment moderate stenosis. 冠脉 CT：左主干 -前降支近中段重度狭窄；旋支近
4、段中度狭窄。Clinic Data 临床资料临床诊断：1.冠心病：不稳定心绞痛2.高血压病 3级Clinical diagnosis: 1. coronary heart disease: unstable angina pectoris 2. HypertensionCoronary Angiography 影像 Coronary Angiography 影像Coronary Angiography 影像Coronary AngiographyIn the preparation of right coronary angiography, before angiographic catheter reached the orifice of the right coronary artery, BP depression, from 135/85 mmHg to 80/40 mmHg in 30 seconds.准备右冠造影过程中，造影导管未到达右冠开口时，患者血压下降， 30秒内由 135/85下降到 80/40
