镜像右位心患者急性心肌梗死的急诊经皮冠状动脉介入治疗：病例报告及简要综述
Emergent percutaneous coronary intervention for acute myocardial infarction in patients with mirror dextrocardia: case reports and brief review.
作者信息
He Jiahui, Sun Yanming, Zhang Xin, Wang Ying, Zhong Jiaoyue, Lin Fang, Liu Yue
机构信息
Department of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin 150001, China.
出版信息
Cardiovasc Diagn Ther. 2016 Jun;6(3):267-73. doi: 10.21037/cdt.2015.12.12.
Mirror-image dextrocardia is a rare congenital abnormality with a life expectancy and risk of myocardial infarction similar to the normal population. Although there have been few case reports of emergent percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) in mirror-image dextrocardia, physicians, especially general and interventional cardiologists encounter problems in the diagnosis and treatment of AMI in these patients. In this paper, we report our experience with two cases of emergent transradial PCI for AMI in patients with the mirror-image dextrocardia. Subsequently, we summarize clinical features, electrocardiograph characteristic, approach to emergent PCI based on a review of the literature.
镜像右位心是一种罕见的先天性异常，其预期寿命和心肌梗死风险与正常人群相似。尽管镜像右位心急性心肌梗死（AMI）急诊经皮冠状动脉介入治疗（PCI）的病例报告较少，但医生，尤其是普通心内科医生和介入心内科医生在这些患者的AMI诊断和治疗中遇到了问题。在本文中，我们报告了两例镜像右位心患者AMI急诊经桡动脉PCI的经验。随后，我们在回顾文献的基础上总结了临床特征、心电图特点及急诊PCI的方法。
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