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以耳痛为不寻常表现的心肌梗死:一例报告

Myocardial infarction with unusual presentation of otalgia: a case report.

作者信息

Amirhaeri Sorour, Spencer Donnie

机构信息

Department of Emergency Medicine, Howard University Hospital, 2041 Georgia Avenue, N.W., Washington, DC, 20060 USA.

出版信息

Int J Emerg Med. 2010 Aug 21;3(4):459-60. doi: 10.1007/s12245-010-0222-8.

DOI:10.1007/s12245-010-0222-8
PMID:21373323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3047871/
Abstract

A rare case of a patient with unusual symptoms of earache and sore throat for cardiac ischemia is presented. A diagnosis of non-ST-segment elevation myocardial infarction (NSTEMI) was made based on initial elevation of troponin and an abnormal electrocardiograph (ECG). Percutaneous coronary intervention (PCI) performed with stent placement in the occluded coronary vessel was followed by a decrease in troponin level and complete resolution of the ear and throat pain and patient recovery from cardiac ischemia.

摘要

本文报告了一例罕见病例,患者因心脏缺血出现耳痛和咽痛等异常症状。根据肌钙蛋白最初升高及心电图异常,诊断为非ST段抬高型心肌梗死(NSTEMI)。对闭塞冠状动脉进行支架置入的经皮冠状动脉介入治疗(PCI)后,肌钙蛋白水平下降,耳痛和咽痛完全缓解,患者从心脏缺血中恢复。

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本文引用的文献

1
Coronary heart disease in patients with diabetes: part II: recent advances in coronary revascularization.糖尿病患者的冠心病:第二部分:冠状动脉血运重建的最新进展
J Am Coll Cardiol. 2007 Feb 13;49(6):643-56. doi: 10.1016/j.jacc.2006.09.045. Epub 2007 Jan 26.
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Acute coronary syndromes and diabetes mellitus.急性冠状动脉综合征与糖尿病
Diab Vasc Dis Res. 2004 May;1(1):23-32. doi: 10.3132/dvdr.2004.003.
3
Management of coronary artery disease: therapeutic options in patients with diabetes.冠状动脉疾病的管理:糖尿病患者的治疗选择
J Am Coll Cardiol. 2000 Aug;36(2):355-65. doi: 10.1016/s0735-1097(00)00732-4.
4
Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain.无胸痛表现的心肌梗死患者的患病率、临床特征及死亡率
JAMA. 2000 Jun 28;283(24):3223-9. doi: 10.1001/jama.283.24.3223.
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Arch Intern Med. 2000 Jan 10;160(1):25-37. doi: 10.1001/archinte.160.1.25.
6
Angina and myocardial infarction presenting with pain confined to the ear.以局限于耳部的疼痛为表现的心绞痛和心肌梗死。
Postgrad Med J. 1993 Apr;69(810):300-1. doi: 10.1136/pgmj.69.810.300.