García Quintana Antonio, Ortega Trujillo José R, Padrón Mújica Alfredo, Huerta Blanco Ricardo, González Morales Leonor, Medina Fernández-Aceytuno Alfonso
Unidad de Medicina Intensiva. Hospital de Gran Canaria Dr. Negrín. Las Palmas de Gran Canaria. España.
Rev Esp Cardiol. 2002 Dec;55(12):1324-7. doi: 10.1016/s0300-8932(02)76805-x.
We report the clinical case of a 77-years-old woman with cardiogenic shock caused by dynamic left ventricular outflow tract (LVOT) obstruction that appeared after anterior acute myocardial infarction. Dynamic LVOT obstruction has been reported in various circumstances aside from hypertrophic obstructive cardiomyopathy, such as acute myocardial infarction. In a patient with cardiogenic shock and a heart murmur after acute myocardial infarction, an acute mechanical complication, ventricular septal defect, and acute mitral regurgitation must be ruled out because the treatment of these conditions differs completely. We describe the diagnostic and therapeutic measures used in the diagnosis and treatment of this complication.
我们报告了一例77岁女性患者的临床病例，该患者因前壁急性心肌梗死后出现的动态左心室流出道（LVOT）梗阻导致心源性休克。除肥厚性梗阻性心肌病外，动态LVOT梗阻在多种情况下均有报道，如急性心肌梗死。在急性心肌梗死后出现心源性休克和心脏杂音的患者中，必须排除急性机械性并发症、室间隔缺损和急性二尖瓣反流，因为这些情况的治疗方法完全不同。我们描述了用于诊断和治疗该并发症的诊断和治疗措施。
