Smith K J, Theal M, Mulji A
Department of Anesthesia, McMaster University, Hamilton, Canada.
Can J Cardiol. 2001 Jul;17(7):815-7.
Early recognition and treatment of acute myocardial infarctions have been accepted as improving patient mortality. With the popular use of thrombolytic therapy, it is necessary to rule out contraindications and to consider other causes for ST segment elevation. A unique patient experiencing chest pain with marked and localized ST segment elevation in the anteroseptal leads is presented. He was treated with thrombolytic therapy. Subsequent investigations ruled out the diagnosis of myocardial infarction and confirmed the diagnosis of pericarditis. Although the patient's outcome was uncomplicated, physicians are urged to consider the diagnosis of pericarditis before using thrombolytic therapy to avoid life-threatening complications.
急性心肌梗死的早期识别和治疗已被公认为可改善患者死亡率。随着溶栓治疗的广泛应用，有必要排除禁忌症并考虑ST段抬高的其他原因。本文介绍了一位独特的患者，其前间隔导联出现胸痛伴明显局限性ST段抬高。他接受了溶栓治疗。后续检查排除了心肌梗死的诊断，并确诊为心包炎。尽管患者的结局并无并发症，但仍敦促医生在使用溶栓治疗前考虑心包炎的诊断，以避免危及生命的并发症。
