多巴酚丁胺负荷超声心动图检查期间乳头肌破裂
Rupture of papillary muscle during dobutamine stress echocardiography.
作者信息
Kemdem A, Briki R, Lemaitre F, Jahjah L, Guimfacq V, Sakabenis D, Matouk M, Vandenbossche J-L
机构信息
Service de cardiologie, CHU Saint-Pierre, 322, rue Haute, 1000 Bruxelles, Belgium.
出版信息
Ann Cardiol Angeiol (Paris). 2010 Apr;59(2):100-2. doi: 10.1016/j.ancard.2008.07.014. Epub 2008 Aug 22.
A 72-year-old man presented with an acute myocardial infarction, he did not receive any reperfusion therapy because he presented as a non-ST elevation myocardial infarction (MI). A dobutamine stress echocardiography was done five days after. A partial rupture of the posterior papillary muscle occurred during the stress test. The patient developed cardiogenic shock; he improved after medical management, and mitral repair was done a few days after.
一名72岁男性因急性心肌梗死就诊，因其表现为非ST段抬高型心肌梗死，未接受任何再灌注治疗。五天后进行了多巴酚丁胺负荷超声心动图检查。负荷试验期间后内侧乳头肌发生部分破裂。患者出现心源性休克；经药物治疗后病情好转，几天后进行了二尖瓣修复手术。
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