Chakko S, Woska D, de Marchena E, Morales A R, Castellanos A
University of Miami School of Medicine, Jackson Memorial Hospital, Florida.
Cathet Cardiovasc Diagn. 1990 Sep;21(1):10-2. doi: 10.1002/ccd.1810210104.
A patient with cardiogenic shock had typical electrocardiographic findings of acute anterior transmural myocardial infarction. Cardiac catheterization revealed normal coronary arteries and severe biventricular failure. Postmortem examination confirmed normal coronary arteries; acute myocarditis, but no evidence for infarction, was found. Electrocardiographic changes of myocarditis may be indistinguishable from acute transmural infarction. In suspected cases, cardiac catheterization should be considered prior to thrombolytic therapy.
一名心源性休克患者有急性前壁透壁性心肌梗死的典型心电图表现。心导管检查显示冠状动脉正常，但存在严重的双心室衰竭。尸检证实冠状动脉正常；发现急性心肌炎，但无梗死证据。心肌炎的心电图改变可能与急性透壁性梗死难以区分。在疑似病例中，溶栓治疗前应考虑进行心导管检查。
