直流电电击后酷似急性心肌梗死的ST段抬高：一例病例报告及文献复习

ST-segment elevation after direct current shock mimicking acute myocardial infarction: a case report and review of the literature.

作者信息

Shan Peiren, Lin Jie, Xu Weiwei, Huang Weijian

机构信息

Department of Cardiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325100, China.

出版信息

Am J Emerg Med. 2014 Nov;32(11):1438.e1-3. doi: 10.1016/j.ajem.2014.04.005. Epub 2014 Apr 13.

DOI:10.1016/j.ajem.2014.04.005

PMID:24856749

Abstract

External direct current (DC) shocks are and have long been commonly used for electrical cardioversion/defibrillation of atrial or ventricular arrhythmias. ST-segment elevation after cardio version with DC is an easily ignored phenomenon, occurring acutely and resolving during the first few minutes postshock. Here, we describe electrocardiographic findings of widespread ST-segment elevation lasting at least 1 hour after DC cardioversion for ventricular defibrillation due to Brugada syndrome and mimicking acute myocardial infarction (AMI). This case of ST-segment elevation without a dynamic and evolving AMI underscores the need to consider other causes of ST-segment elevation.

摘要

体外直流电（DC）电击一直以来都常用于心房或心室心律失常的电复律/除颤。直流电复律后出现的ST段抬高是一种容易被忽视的现象，电击后急性发生并在最初几分钟内缓解。在此，我们描述了因Brugada综合征导致心室除颤的直流电复律后广泛ST段抬高持续至少1小时且酷似急性心肌梗死（AMI）的心电图表现。这种无动态演变的AMI的ST段抬高病例强调了需要考虑ST段抬高的其他原因。