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卵圆孔未闭导致矛盾栓塞引起的同时性心肌梗死和缺血性脑卒中。

Simultaneous myocardial infarction and ischaemic stroke secondary to paradoxical emboli through a patent foramen ovale.

机构信息

Cardiology Department, Milton Keynes Hospital NHS Foundation Trust, Milton Keynes, Buckinghamshire.

出版信息

Clin Med (Lond). 2012 Aug;12(4):391-2. doi: 10.7861/clinmedicine.12-4-391.

Abstract

Myocardial infarction (MI) and stroke are common acute conditions that regularly present as an emergency to hospital. Paradoxical embolism is a recognised complication of patent foramen ovale (PFO), and the literature shows that it can cause ischaemic stroke or, less frequently, acute MI. Ischaemic stroke and MI occurring simultaneously has a wide differential diagnosis, which should include a PFO, especially when occurring in young patients.

摘要

心肌梗死(MI)和中风是常见的急性病症,经常以急症的形式到医院就诊。反常栓塞是卵圆孔未闭(PFO)的一种公认并发症,文献表明它可引起缺血性中风,或较少见地引起急性 MI。同时发生的缺血性中风和 MI 具有广泛的鉴别诊断,其中应包括 PFO,特别是在年轻患者中发生时。

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本文引用的文献

1
Stroke in young patients: etiopathogenesis and risk factors in different age classes.
Cerebrovasc Dis. 2004;18(2):154-9. doi: 10.1159/000079735. Epub 2004 Jul 13.
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Acute myocardial infarction caused by paradoxical coronary embolization in a patient with a patent foramen ovale.
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Ann Intern Med. 1992 Sep 15;117(6):461-5. doi: 10.7326/0003-4819-117-6-461.

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