Cardiac Catheterization Laboratories, Arizona Heat Hospital and Institute, Phoenix, AZ 85006, USA.
Clin Cardiol. 2009 Dec;32(12):E72-6. doi: 10.1002/clc.20547.
Myocardial infarction in the absence of significant atherosclerotic coronary artery disease is not uncommonly encountered in clinical practice. This has been more often seen with the current sensitive biomarker assays for myocardial necrosis. Acute illnesses, spontaneous coronary dissection, sepsis, pulmonary embolism and coagulation disorders are some of the common clinical situation where elevated cardiac markers are noted. We describe two brothers presenting with acute myocardial infarction due to thrombus without any obvious cause.
在临床实践中,心肌梗死而无明显动脉粥样硬化性冠状动脉疾病并不少见。这在目前用于检测心肌坏死的敏感生物标志物检测中更为常见。急性疾病、自发性冠状动脉夹层、脓毒症、肺栓塞和凝血功能障碍等是一些常见的临床情况,其中会出现心肌标志物升高。我们描述了两兄弟因血栓形成而发生急性心肌梗死,但无明显原因。