Successful coronary artery bypass surgery in an 80-year old man with Prinzmetal's angina

摘要: An 80-year-old businessman presented to hospital with a history of chest pain. He was very active (skiing and golfing) had been well until 1 week previously, when, for the first time, rerrosternal pain occurred while he walking. The recurred, at only exertion, but later also rest. On night admission it awakened him from sleep. When examined patient appeared robust, free in no distress. His blood pressure 130/ 100 mm Hg his pulse rate 52 beats/mm. Cardiovascular findings were normal, although fourth heart sound audible. electrocardiogram taken rest showed ST-segment T-wave abnormalities (Fig. 1) that fluctuated over next 2 days. day after serum creatine phosphokinase (CPK) concentration 216 lU/L (normal, 5 140 lU/L), glutamic oxaloacetic transaminase (SGOT) 65 10 32 lU/L) lactate dehydrogenase (LDH) 244 IU/L 195