Wozakowska-Kapłon Beata, Dobaj Łukasz, Starzyk Katarzyna
I Kliniczny Oddział Kardiologii, Swietokrzyskie Centrum Kardiologii, Kielce.
Kardiol Pol. 2010 May;68(5):569-73; discussion 574.
We report a case of a 53-year-old man with acute myocardial infarction complicated on the 5th day of hospitalisation by systemic arterial embolism and renal infarction secondary to left ventricle thrombus. Clinical manifestations included: acute onset, nausea, vomiting, abdomen and flank pain. The diagnosis was confirmed by imaging findings: echocardiography and angio-CT performed during hospitalisation. Pathogenesis, clinical manifestation, prognosis and treatment of left ventricular thrombus and arterial embolism as a complication of myocardial infarction have been discussed.
我们报告一例53岁男性,因急性心肌梗死住院,在住院第5天并发系统性动脉栓塞和继发于左心室血栓的肾梗死。临床表现包括:急性起病、恶心、呕吐、腹部和侧腹痛。住院期间进行的超声心动图和血管CT成像结果证实了诊断。本文讨论了心肌梗死并发症左心室血栓和动脉栓塞的发病机制、临床表现、预后及治疗。