血管造影检查收费10便士：心-食管反射。
10p for an angiogram: the cardio-oesophageal reflex.
作者信息
Kandan S R, Augustine D X, Mansfield R J, Easaw J
机构信息
Department of Cardiology, Royal United Hospital, Bath, UK.
出版信息
BMJ Case Rep. 2010 Dec 1;2010:bcr0520091870. doi: 10.1136/bcr.05.2009.1870.
A 57-year-old man presented at our institution with central chest pain. Serial ECGs showed dynamic T-wave changes, suggesting the possibility of unstable angina. Urgent coronary angiography revealed an unexpected finding of a radio-opaque lesion seen in the xiphisternal region during screening. Oesophogastroduodenoscopy confirmed this to be a 10p coin. The coin passed through the gastrointestinal tract without complications and the patient's symptoms and ECG changes resolved. This unusual case is a reminder that many diseases may electrocardiographically imitate an acute coronary syndrome.
一名57岁男性因胸痛前来我院就诊。系列心电图显示动态T波改变，提示不稳定型心绞痛的可能性。紧急冠状动脉造影显示在筛查过程中剑突下区域出现意外的不透射线病变。食管胃十二指肠镜检查证实这是一枚10便士硬币。硬币顺利通过胃肠道，未出现并发症，患者症状及心电图改变消失。这个不寻常的病例提醒我们，许多疾病在心电图上可能会模仿急性冠状动脉综合征。
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