Rosenbloom A J
Department of Anesthesiology and Critical Care Medicine, University of Pittsburgh School of Medicine.
Chest. 1991 Sep;100(3):870-2. doi: 10.1378/chest.100.3.870.
A 49-year-old woman presented in fulminant hepatic failure. The ECG showed dramatic ST-segment elevation, suggesting diffuse myocardial injury. However, echocardiography, creatine phosphokinase enzyme determinations, and examination of the heart at autopsy (six days later) failed to demonstrate any physiologic, anatomic, or histologic evidence of abnormality. The appearance of ST-segment elevation in this setting should not prompt treatment for cardiac disease or limit the candidacy for liver transplantation of such critically ill patients.
一名49岁女性出现暴发性肝衰竭。心电图显示ST段显著抬高，提示弥漫性心肌损伤。然而，超声心动图、肌酸磷酸激酶测定以及尸检（六天后）对心脏的检查均未发现任何生理、解剖或组织学异常证据。在这种情况下出现的ST段抬高不应促使对心脏病进行治疗，也不应限制此类重症患者接受肝移植的资格。
