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[酷似急性心肌梗死的心肌炎。病例报告]

[Myocarditis simulating acute myocardial infarction. A case report].

作者信息

Jacob J L, Hassem Sobrinho S, Nicolau J C, da Silveira L C, Suzigan S, Garzon S A, Lorga A M, Marcolino D

出版信息

Arq Bras Cardiol. 1989 May;52(5):279-81.

PMID:2604576
Abstract

A six month-old infant presenting congestive heart failure and electrocardiographic features of acute myocardial infarction, including increased CK-MB levels. The echocardiographic study showed normal origin of the coronary arteries and features compatible with myocardiopathy. After good early response to conventional therapy, the patient developed severe congestive heart failure and shock, and died. In the post-mortem study, the coronary arteries were previous. Microscopic study was compatible with acute myocarditis.

摘要

一名6个月大的婴儿出现充血性心力衰竭及急性心肌梗死的心电图特征,包括肌酸激酶同工酶(CK-MB)水平升高。超声心动图检查显示冠状动脉起源正常,具有与心肌病相符的特征。在对常规治疗早期反应良好后,该患者出现严重充血性心力衰竭和休克并死亡。尸检研究中,冠状动脉正常。显微镜检查结果符合急性心肌炎。

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