Azzarelli Salvatore, Galassi Alfredo R, Centamore Guido, Carini Vittorio
Dipartimento Cardiovascolare, Azienda Ospedaliera "Cannizzaro", Università degli Studi, Catania.
Ital Heart J Suppl. 2003 Oct;4(10):866-8.
We report a case of a 32-year-old man who was hospitalized at the Department of Surgery for hepatic cystic echinococcosis. Standard preoperative electrocardiogram revealed the presence of Q waves in the inferior leads, suggesting the presence of a previous myocardial infarction. Two-dimensional echocardiography showed a hepatic cystic echinococcosis raising the diaphragmatic wall of the left ventricle. The electrocardiogram performed the day after surgery showed disappearance of Q waves in the inferior leads. Thus, it is suggested that the preoperative electrocardiographic picture of a previous myocardial infarction was determined by the mass of the hepatic cystic echinococcosis.
我们报告一例32岁男性因肝囊性包虫病入住外科。术前标准心电图显示下壁导联有Q波,提示既往有心肌梗死。二维超声心动图显示肝囊性包虫病使左心室膈面抬高。术后第二天进行的心电图显示下壁导联Q波消失。因此,提示既往心肌梗死的术前心电图表现是由肝囊性包虫病肿块所致。