Abstract：
We report a case of a 62-year-old woman with a decade-long history of atypical chest pain resulting in a largely negative cardiac workup, who developed significant angiographically demonstrated coronary vasospasm thought to be due to a small dose of intravenous ketamine. In patients with a history of atypical chest pain despite a reassuring cardiac evaluation, providers should carefully consider medications that may precipitate coronary vasospasm and be prepared to treat it accordingly.
摘要：
我们报告了一例62岁的女性，有十年的非典型胸痛病史，导致心脏检查呈阴性。血管造影显示冠状动脉血管痉挛被认为是由于小剂量氯胺酮引起的。尽管心脏评估令人放心，但有非典型胸痛病史的患者中，提供者应仔细考虑可能导致冠状血管痉挛的药物,并做好相应的治疗准备.
