Kawano Hiroaki, Koide Yuji, Toda Genji, Yano Katsusuke
Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Sakamoto.
Intern Med. 2005 Jun;44(6):578-85. doi: 10.2169/internalmedicine.44.578.
We report a case of a 58-year-old man with Shoshin beriberi who demonstrated ST-segment elevation and myocardial damage without coronary artery stenosis. The patient subsequently recovered with thiamine treatment. We conclude that it is important to consider Shoshin beriberi as part of the differential diagnosis in patients with shock and ST-segment elevation.
我们报告一例58岁男性的急性暴发性脚气病病例,该患者表现出ST段抬高和心肌损伤,但无冠状动脉狭窄。患者随后经硫胺素治疗后康复。我们得出结论,对于伴有休克和ST段抬高的患者,将急性暴发性脚气病纳入鉴别诊断十分重要。