[酷似急性冠状动脉综合征的高钙血症]

[Hypercalcemia mimicking acute coronary syndrome].

作者信息

Kukla Piotr, Paździerz Jarosław, Jastrzębski Marek

机构信息

Oddział Internistyczno-Kardiologiczny, Szpital Specjalistyczny, im. H. Klimontowicza, Gorlice.

出版信息

Kardiol Pol. 2013;71(8):875-8. doi: 10.5603/KP.2013.0205.

DOI:10.5603/KP.2013.0205

PMID:24049033

Abstract

We described 2 patients (28-year-old and 69-year-old females) with hypercalcemia (4.47 mmol/L and 4.8 mmol/L), chest painand electrocardiogram with ST-T segment changes mimicking acute coronary syndrome. One patient presented ST segment elevation in right precordial leads V1-V3 max. 4 mm, the second one presented negative T waves in V1-V6 leads. Troponin level was normal in both cases. Additionally, corrected QT apex was shortened in both cases, 250 ms and 206 ms respectively and T wave humps in lateral leads was observed.

摘要

我们描述了2例高钙血症患者（分别为28岁和69岁女性），血钙水平分别为4.47 mmol/L和4.8 mmol/L，伴有胸痛，心电图显示ST-T段改变，类似急性冠状动脉综合征。1例患者右胸前导联V1-V3的ST段抬高，最大幅度达4 mm，另一例患者V1-V6导联T波倒置。2例患者的肌钙蛋白水平均正常。此外，2例患者的校正QT间期均缩短，分别为250 ms和206 ms，并观察到侧壁导联出现T波驼峰。