心房颤动患者冠状动脉栓塞致急性心肌梗死。
Acute myocardial infarction due to coronary artery embolism in a patient with atrial fibrillation.
机构信息
Department of Cardiology, Radboud University Nijmegen Medical Centre, the Netherlands.
出版信息
Neth Heart J. 2009 Aug;17(7-8):297-9. doi: 10.1007/BF03086271.
Abstract
A 66-year-old female was referred for primary coronary intervention because of acute inferior STelevation myocardial infarction. Electrocardiography also showed atrial fibrillation. Coronary angiography showed a distal occlusion of the right coronary artery. Two different wires did not pass the occlusion, but dislodged the apparent thrombus more distally. No abnormalities were seen in the course of the recanalised part of the vessel. The sequential angiographic images together with the presence of atrial fibrillation are highly suggestive of coronary embolism as the cause of the myocardial infarction. Anticoagulation and rate control strategy was initiated. The patient was discharged in good condition. (Neth Heart J 2009;17:297-9.).
摘要
一位 66 岁女性因急性下壁 ST 段抬高型心肌梗死被转介行急诊经皮冠状动脉介入治疗。心电图还显示心房颤动。冠状动脉造影显示右冠状动脉远端闭塞。两根不同的导丝均未能通过闭塞部位，但将明显的血栓更远处地移位。在血管再通的部分没有发现异常。连续的血管造影图像以及心房颤动的存在强烈提示栓塞是心肌梗死的原因。启动抗凝和心率控制策略。患者情况良好出院。（Neth Heart J 2009;17:297-9.）。
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