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一名冠状动脉正常的运动员的缺血性心电图改变。

Ischaemic electrocardiographic changes in an athlete with normal coronary arteries.

作者信息

Frick M H, Korhola O, Nieminen M, Valle M

出版信息

Ann Clin Res. 1975 Aug;7(4):264-8.

PMID:1217857
Abstract

During a maximal exercise test transient ischaemic electrocardiographic (ECG) changes developed in a young athlete who had entirely normal coronary arteries on angiography. Myocardial scintigraphy revealed a perfusion defect in the anterior wall of the left ventricle with a reduced washout of 133Xenon. A localized hypokinetic area coterminuos with the perfusion defect was disclosed by echoventriculography. This athlete, the first studied by selective coronary angiography and determination of regional myocardial perfusion, demonstrates that athletes are not protected from the recently highlighted syndrome of ischaemic heart disease with normal coronary arteries.

摘要

在一次最大运动试验中,一名年轻运动员出现了短暂性缺血性心电图(ECG)改变,而其冠状动脉造影显示完全正常。心肌闪烁显像显示左心室前壁有灌注缺损,133氙的洗脱减少。超声心动图显示与灌注缺损相邻的局部运动减弱区域。这名运动员是首例接受选择性冠状动脉造影和局部心肌灌注测定的研究对象,表明运动员并不能免受最近备受关注的冠状动脉正常的缺血性心脏病综合征的影响。

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