Dybich Paweł, Bartkowiak Radosław, Wozakowska-Kapłon Beata
I Kliniczny Oddział Kardiologii, Swietokrzyskie Centrum Kardiologii, Wojewódzki Szpital Zespolony, Kielce.
Kardiol Pol. 2010 Feb;68(2):218-21; discussion 222.
A case of a 59-year-old man with acute coronary syndrome and ECG features of WPW syndrome is described. The typical chest pain and release of myocardial necrosis markers were accompanied by ECG signs of preexcitation. Angiography revealed significant lesions in coronary arteries. Difficulties in ECG diagnosis of acute myocardial infaction in the presence of preexicitation are disscussed.
本文描述了一例59岁患有急性冠状动脉综合征且伴有预激综合征心电图特征的男性患者。典型的胸痛症状及心肌坏死标志物的释放伴有预激的心电图表现。血管造影显示冠状动脉存在明显病变。文中讨论了存在预激时急性心肌梗死心电图诊断的困难。