酷似前壁ST段抬高的孤立性右心室梗死
Isolated Right Ventricular Infarction Mimicking Anterior ST-Segment Elevation.
作者信息
Baydar Onur, Oktay Veysel, Coskun Ugur, Yildiz Ahmet, Gurmen Tevfik
机构信息
Instructor, Department of Cardiology, Institute of Cardiology, Istanbul University , Istanbul, Turkey .
Professor, Department of Cardiology, Institute of Cardiology, Istanbul University , Istanbul, Turkey .
出版信息
J Clin Diagn Res. 2016 Apr;10(4):OD08-9. doi: 10.7860/JCDR/2016/17490.7599. Epub 2016 Apr 1.
Abstract
Acute coronary syndromes in patients with presence of ST-segment elevation in the anterior precordial leads indicates left anterior descending coronary artery occlusion. However, anterior ST-segment elevation has also been described in right ventricular myocardial infarction and is thought to be due to right coronary artery (RCA) occlusion. We present a rare case of isolated RVMI presenting with anterior ST-segment elevation due to proximal occlusion of a right coronary artery that was treated by primary coronary angioplasty. Primary coronary angioplasty and stenting of this artery was performed resulting in resolution of the chest pain and ST- segment elevation.
摘要
胸前导联ST段抬高的患者出现急性冠状动脉综合征提示左前降支冠状动脉闭塞。然而，右心室心肌梗死中也有前壁ST段抬高的描述，认为这是由于右冠状动脉（RCA）闭塞所致。我们报告一例罕见的孤立性右心室心肌梗死病例，该病例因右冠状动脉近端闭塞出现前壁ST段抬高，并接受了直接冠状动脉血管成形术治疗。对该动脉进行了直接冠状动脉血管成形术和支架置入，胸痛和ST段抬高得以缓解。
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