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干性脚气病患者心电图的ST段抬高

ST-segment elevation of electrocardiogram in a patient with Shoshin beriberi.

作者信息

Kawano Hiroaki, Koide Yuji, Toda Genji, Yano Katsusuke

机构信息

Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Sakamoto.

出版信息

Intern Med. 2005 Jun;44(6):578-85. doi: 10.2169/internalmedicine.44.578.

DOI:10.2169/internalmedicine.44.578
PMID:16020883
Abstract

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.

摘要

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。

相似文献

1
ST-segment elevation of electrocardiogram in a patient with Shoshin beriberi.干性脚气病患者心电图的ST段抬高
Intern Med. 2005 Jun;44(6):578-85. doi: 10.2169/internalmedicine.44.578.
2
A case of shoshin beriberi presenting as cardiogenic shock with diffuse ST-segment elevation, which dramatically improved after a single dose of thiamine.一例以心源性休克伴弥漫性ST段抬高为表现的急性暴发性脚气病,单次给予硫胺素后病情显著改善。
Cardiovasc J Afr. 2014 Nov 23;25(6):e1-5. doi: 10.5830/CVJA-2014-053.
3
Shoshin beriberi mimicking a high-risk non-ST-segment elevation acute coronary syndrome with cardiogenic shock: when the arteries are not guilty.干性脚气病酷似伴有心源性休克的高危非ST段抬高型急性冠状动脉综合征:当动脉无病变时。
J Emerg Med. 2011 Oct;41(4):e73-7. doi: 10.1016/j.jemermed.2008.03.040. Epub 2008 Oct 18.
4
Beriberi cardiomyopathy.脚气病性心肌病
Eur J Clin Nutr. 1992 Mar;46(3):227-34.
5
A case of ST-elevation and nystagmus--when coronary thrombosis is not to blame.一起 ST 段抬高伴眼球震颤病例——并非都是血栓惹的祸。
QJM. 2009 Oct;102(10):737-9. doi: 10.1093/qjmed/hcp095. Epub 2009 Jul 21.
6
Shoshin Beriberi With Low Cardiac Output and Hemodynamic Deterioration Treated Dramatically by Thiamine Administration.给予硫胺素后,低心排血量和血流动力学恶化的急性暴发性脚气病得到显著治疗。
Int Heart J. 2015;56(5):568-70. doi: 10.1536/ihj.15-033. Epub 2015 Sep 4.
7
Shoshin beriberi with severe metabolic acidosis.干性脚气病伴严重代谢性酸中毒。
South Med J. 1981 Sep;74(9):1127-30. doi: 10.1097/00007611-198109000-00028.
8
Histopathological changes of biopsied myocardium in Shoshin beriberi.急性暴发性脚气病患者活检心肌的组织病理学变化
Int Heart J. 2005 Jul;46(4):751-9. doi: 10.1536/ihj.46.751.
9
Recovery from proved Shoshin beriberi.确诊为急性暴发性脚气病后的康复情况。
Am J Med. 1971 Jan;50(1):123-8. doi: 10.1016/0002-9343(71)90211-7.
10
[A case of beriberi heart--with special reference to the rapid effect of fursultiamine on hemodynamics].一例脚气性心脏病——特别提及呋喃硫胺对血流动力学的快速作用
Kokyu To Junkan. 1991 Jan;39(1):89-94.

引用本文的文献

1
An Overview of Type B Lactic Acidosis Due to Thiamine (B1) Deficiency.硫胺素(维生素B1)缺乏所致B型乳酸酸中毒概述。
J Pediatr Pharmacol Ther. 2023;28(5):397-408. doi: 10.5863/1551-6776-28.5.397. Epub 2023 Oct 3.
2
Wet beriberi with multiple organ failure remarkably reversed by thiamine administration: A case report and literature review.硫胺素治疗显著逆转伴有多器官功能衰竭的湿性脚气病:一例报告及文献综述
Medicine (Baltimore). 2018 Mar;97(9):e0010. doi: 10.1097/MD.0000000000010010.
3
The Dramatic Recovery of a Patient with Biguanide-associated Severe Lactic Acidosis Following Thiamine Supplementation.
补充硫胺素后,一名患有双胍类药物相关严重乳酸酸中毒的患者戏剧性康复。
Intern Med. 2017;56(4):455-459. doi: 10.2169/internalmedicine.56.7754. Epub 2017 Feb 15.
4
Electrical properties of isolated cardiomyocytes in a rat model of thiamine deficiency.硫胺素缺乏大鼠模型中分离的心肌细胞的电特性。
Arq Bras Cardiol. 2015 Mar;104(3):242-5. doi: 10.5935/abc.20150010. Epub 2015 Mar 1.
5
Cardiac beriberi: morphological findings in two fatal cases.心脏脚气病:两例致死病例的形态学观察。
Diagn Pathol. 2011 Jan 19;6:8. doi: 10.1186/1746-1596-6-8.