经单纯初次经皮冠状动脉介入治疗后出现左心室流出道梗阻：一种公认但罕见的心源牲休克病因。
Left ventricular outflow tract obstruction following an uncomplicated primary percutaneous coronary intervention: a recognized but rare cause of cardiogenic shock.
机构信息
The James Cook University Hospital, Middlesbrough, UK.
出版信息
Eur Heart J Acute Cardiovasc Care. 2013 Mar;2(1):68-71. doi: 10.1177/2048872612471204.
Abstract
Dynamic left ventricular outflow tract obstruction is a rare but important complication of myocardial infarction. It occurs acutely and may mimic the presentation of papillary muscle rupture or acquired ventricular septal defect. Unlike these mechanical complications, it does not require circulatory support or cardiac surgical intervention. Recognition is critical because it typically responds to volume loading and beta blockade. We report a case who displayed many classical features of this condition.
摘要
动态左心室流出道梗阻是心肌梗死的一种罕见但重要的并发症。它是急性发生的，可能类似于乳头肌破裂或获得性室间隔缺损的表现。与这些机械并发症不同，它不需要循环支持或心脏手术干预。识别它非常重要，因为它通常对容量负荷和β受体阻滞剂有反应。我们报告了一例具有该病症许多典型特征的病例。
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Dynamic left ventricular outflow tract obstruction in the setting of acute anterior myocardial infarction: a serious and potentially fatal complication?急性前壁心肌梗死时的动态左心室流出道梗阻：一种严重且可能致命的并发症？
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Dynamic left ventricular outflow tract obstruction in acute coronary syndromes: an important cause of new systolic murmur and cardiogenic shock.急性冠状动脉综合征中的动态左心室流出道梗阻：新发收缩期杂音和心源性休克的重要原因。
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