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因左旋支动脉完全闭塞导致的症状性心动过缓,初次就诊时无心肌梗死的心电图证据。

Symptomatic bradycardia due to total occlusion of left circumflex artery without electrocardiographic evidence of myocardial infarction at initial presentation.

作者信息

Lin Chih-Feng, Cheng Shu-Meng

机构信息

Division of Cardiology, Tri-Service General Hospital, National Defense Medical Center, Neihu 114, Taipei, Taiwan, Republic of China.

出版信息

Tex Heart Inst J. 2006;33(3):396-8.

PMID:17041707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1592258/
Abstract

We present the case of a 72-year-old man who was admitted due to low blood pressure and acute-onset dizziness with sinus bradyarrhythmia on electrocardiography. He had no obvious anginal symptoms, and there was no marked evidence of myocardial infarction. He was ultimately diagnosed with coronary artery disease with total occlusion of the left circumflex coronary artery, and he underwent successful coronary angioplasty after primary conduction disorders were ruled out.

摘要

我们报告一例72岁男性患者,因低血压和急性发作性头晕入院,心电图显示窦性心动过缓。他没有明显的心绞痛症状,也没有明显的心肌梗死证据。最终诊断为冠状动脉疾病,左回旋支冠状动脉完全闭塞,在排除原发性传导障碍后,他成功接受了冠状动脉成形术。

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Symptomatic bradycardia due to total occlusion of left circumflex artery without electrocardiographic evidence of myocardial infarction at initial presentation.因左旋支动脉完全闭塞导致的症状性心动过缓,初次就诊时无心肌梗死的心电图证据。
Tex Heart Inst J. 2006;33(3):396-8.
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本文引用的文献

1
The incidence of coronary artery disease in patients with symptomatic bradyarrhythmias.有症状性缓慢性心律失常患者的冠状动脉疾病发病率。
Jpn Heart J. 2001 Jul;42(4):417-23. doi: 10.1536/jhj.42.417.
2
Bradycardia is associated with development of coronary collateral vessels in humans.心动过缓与人类冠状动脉侧支血管的发育有关。
Coron Artery Dis. 2000 Sep;11(6):467-72. doi: 10.1097/00019501-200009000-00004.
3
Sinus bradycardia as a predictor of right coronary artery occlusion in patients with inferior myocardial infarction.窦性心动过缓作为下壁心肌梗死患者右冠状动脉闭塞的预测指标。
Int J Cardiol. 1999 Jan;68(1):75-82. doi: 10.1016/s0167-5273(98)00344-1.
4
Coronary reperfusion and Bezold-Jarisch reflex (bradycardia and hypotension).冠状动脉再灌注与贝佐尔德-雅里什反射(心动过缓和低血压)。
Am J Cardiol. 1983 Aug;52(3):221-4. doi: 10.1016/0002-9149(83)90111-x.
5
Bradyarrhythmias: clinical significance and management.缓慢性心律失常:临床意义与管理
J Am Coll Cardiol. 1983 Jan;1(1):327-38. doi: 10.1016/s0735-1097(83)80033-3.