一名使用海洛因且患有感染性心内膜炎的患者出现冠状动脉正常的心肌梗死。
Myocardial Infarction with Normal Coronary Arteries in a Patient with Heroin Use and Infective Endocarditis.
作者信息
Chang Kai-Wei, Yen Yuan-Hung, Chan Kuei-Chuan, Huang Shao-Fan, Su Chun-Hung
机构信息
Institute of Medicine, School of Medicine, Chung Shan Medical University; ; Division of Cardiology, Department of Internal Medicine, Chung Shan Medical University Hospital; Taichung, Taiwan;
Division of Cardiology, Department of Internal Medicine, Chung Shan Medical University Hospital; Taichung, Taiwan; ; Division of Cardiology, Department of Internal Medicine, Nantou Hospital, Ministry of Health and Welfare, Taiwan.
出版信息
Acta Cardiol Sin. 2014 Mar;30(2):173-7.
UNLABELLED
Myocardial infarction with normal coronary arteries typically occurs in patients under 50 years of age. There is usually no history of angina or previous myocardial infarction, and risk factors for ischemic heart disease are frequently absent. We report a 27-year-old heroin user with normal coronary arteries and inferior wall infarction secondary to infective endocarditis. The left ventricular dysfunction normalized after antibiotic and surgical treatments for infective endocarditis. He was followed at our outpatient clinic for one year without recurrence.
KEY WORDS
Heroin; Infective endocarditis; Left ventricular ballooning syndrome; Myocardial infarction with normal coronary arteries.
未标注
冠状动脉正常的心肌梗死通常发生在50岁以下的患者中。通常没有心绞痛病史或既往心肌梗死史，且缺血性心脏病的危险因素常常不存在。我们报告一例27岁的海洛因使用者，其冠状动脉正常，因感染性心内膜炎继发下壁梗死。在针对感染性心内膜炎进行抗生素和手术治疗后，左心室功能障碍恢复正常。他在我们的门诊随访了一年，无复发。
关键词
海洛因；感染性心内膜炎；左心室气球样变综合征；冠状动脉正常的心肌梗死
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