酷似前壁梗死的右心室梗死
Right ventricular infarction mimicking anterior infarction.
作者信息
Vavuranakis Manolis, Drakopoulou Maria, Toutouzas Konstantinos, Polychronis Dilaveris, Stefanadis Christodoulos
机构信息
1st Department of Cardiology, Hippokration Hospital, University of Athens, Greece.
出版信息
Ann Noninvasive Electrocardiol. 2006 Apr;11(2):194-7. doi: 10.1111/j.1542-474X.2006.00101.x.
Abstract
It is rare to observe ST elevation in anterior derivations caused by right ventricular branch occlusion. We described the case of a patient with unstable angina who developed acute right ventricular myocardial infarction with ST-segment elevation in anterior precordial leads (V(1)-V(4)) shortly after coronary angiography. Coronary angiogram revealed total occlusion of the right coronary artery (RCA) proximally to the right ventricular branch. This reminds us that the presence of diffuse ST-segment elevation in the precordial leads could be due to acute RCA occlusion. The differentiation of these two entities is important, as their therapies are quite different.
摘要
由右心室分支闭塞导致前壁导联ST段抬高的情况较为罕见。我们描述了一例不稳定型心绞痛患者的病例，该患者在冠状动脉造影后不久出现急性右心室心肌梗死，并伴有胸前导联（V(1)-V(4)）ST段抬高。冠状动脉造影显示右冠状动脉（RCA）在右心室分支近端完全闭塞。这提醒我们，胸前导联出现弥漫性ST段抬高可能是由于急性RCA闭塞所致。区分这两种情况很重要，因为它们的治疗方法有很大不同。
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本文引用的文献
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Ann Noninvasive Electrocardiol. 2004 Oct;9(4):383-8. doi: 10.1111/j.1542-474X.2004.94585.x.
2
ST segment elevation in leads V1 to V3 due to isolated right ventricular branch occlusion during primary right coronary angioplasty.
Catheter Cardiovasc Interv. 2003 Sep;60(1):32-5. doi: 10.1002/ccd.10610.
3
The ionic contrast medium ioxaglate interferes with thrombin-mediated feedback activation of factor V, factor VIII and platelets.离子型造影剂碘克沙醇会干扰凝血酶介导的因子V、因子VIII和血小板的反馈激活。
J Thromb Haemost. 2003 Feb;1(2):269-74. doi: 10.1046/j.1538-7836.2003.00026.x.
4
Unusual electrocardiographic presentation of an isolated right ventricular myocardial infarction secondary to thrombotic occlusion of a non-dominant right coronary artery--a case report and brief review of literature.非优势型右冠状动脉血栓闭塞继发孤立性右心室心肌梗死的异常心电图表现——病例报告及文献简要回顾
Angiology. 2003 Jan;54(1):119-24. doi: 10.1177/000331970305400116.
5
Pure right ventricular infarction.
Circ J. 2002 Feb;66(2):213-5. doi: 10.1253/circj.66.213.
6
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Eur Heart J. 2001 Mar;22(5):385-91. doi: 10.1053/euhj.2000.2319.
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9
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