Orofacial Pain Associated with Vasospastic Angina: A Case Report
Orofacial Pain Associated with Vasospastic Angina: A Case Report
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与血管痉挛性心绞痛相关的口面部疼痛：病例报告
DOI：
10.11607/ofph.1768
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Sumitomo Shinichiro
中科院分区：
文献类型：
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作者：
Adachi Makoto;Hayashi Mio;Segawa Tomonori;Yamaki Takahiko;Muramatsu Yasunori;Sumitomo Shinichiro
在心绞痛和心肌梗死中，咽喉、颈部、颞区、头部、眶下区、上颌骨和下颌骨的疼痛可伴有或不伴有胸痛。由于目前的病人的唯一症状是口腔颌面疼痛，病人首先看到的口腔颌面外科医生。外科医生怀疑患者患有心脏病，因此将患者转诊至心脏病专家并接受检查。然后通过冠状动脉造影术诊断患者为冠状动脉痉挛性心绞痛。幸运的是，患者在最初出现口面部疼痛的24小时内得到诊断并开始用药;然而，一些病例报告表明，患有非典型口面部疼痛的患者后来被发现是心源性的，但在数月至数年内没有得到正确诊断。许多临床医生。3，4有趣的是，通过冠状动脉内注射马来酸麦角新碱可以诱导口面部疼痛。这种口面部疼痛几乎与病人的相同
DiscussionIn angina pectoris and myocardial infarction, pain in the throat, neck, temporal region, head, infraorbital region, maxilla, and mandible can occur with or without chest pain. As the sole symptom of the present patient was orofacial pain, the patient was first seen by the oral and maxillofacial surgeon. The surgeon suspected cardiac disease, so the patient was referred to a cardiologist and received an examination. The patient was then diagnosed with coronary spastic angina by means of coronary angiography. Fortunately, the patient was diagnosed and started medication within 24 hours of the initial onset of orofacial pain; however, some case reports indicate that patients with atypical orofacial pain later found to be of cardiac origin had not been correctly diagnosed for several months to years by a number of clinicians. 3, 4 Interestingly, it was possible to induce orofacial pain through intracoronary ergonovine maleate. This orofacial pain was almost the same as the patient’s