Lehmann G, Deisenhofer I, Ndrepepa G, Schmitt C
Deutsches Herzzentrum München and I. Med. Klinik, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
Chest. 2000 Jul;118(1):260-2. doi: 10.1378/chest.118.1.260.
The case of a 25-year-old woman presenting with chest pain, ECG changes, and laboratory findings suggestive of myocardial infarction is reported. Cardiac catheterization showed impaired left ventricular performance but otherwise normal coronary arteries. Laboratory analyses revealed primary hypoparathyroidism, and supplementation with calcium and vitamin D(3) was initiated. There was subsequent improvement in laboratory findings as well as echocardiographically determined left ventricular performance. Thereafter, the patient remained asymptomatic. Apart from some persisting ECG repolarization disturbances, there was complete normalization of the initial changes. This case demonstrates a combination of clinical, blood biochemical, and ECG findings mimicking acute myocardial infarction.
报告了一名25岁女性病例，该患者出现胸痛、心电图改变及提示心肌梗死的实验室检查结果。心脏导管检查显示左心室功能受损，但冠状动脉正常。实验室分析显示原发性甲状旁腺功能减退，遂开始补充钙和维生素D(3)。随后实验室检查结果以及超声心动图测定的左心室功能均有改善。此后，患者无症状。除了一些持续存在的心电图复极异常外，最初的改变完全恢复正常。该病例显示了临床、血液生化及心电图表现酷似急性心肌梗死的情况。
