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.
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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