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镜像右位心合并ST段抬高型心肌梗死:一例报告

ST-Elevation Myocardial Infarction in Situs Inversus Dextrocardia: A Case Report.

作者信息

Tat Koh Keng, Said Asri, Yee Oon Yen, Adinan Siti Nadia Binti Che, Kiam Ong Tiong

机构信息

Department of Cardiology, Sarawak Heart Centre, 94000 Kota Samarahan, Sarawak Malaysia.

Department of Cardiology, Sarawak Heart Centre, 94000 Kota Samarahan, Sarawak Malaysia ; Faculty of Medicine and Health Sciences,, University Malaysia Sarawak, Kota Samarahan, Sarawak Malaysia.

出版信息

ASEAN Heart J. 2016 Dec 6;24(1):10. doi: 10.7603/s40602-016-0010-7. eCollection 2016 Dec.

Abstract

ST-elevation myocardial infarction (STEMI) in situs inversus dextrocardia is a rare combination and poses many challenges in terms of diagnosis and management. These include the early detection of dextrocardia as well as the interpretation of the ECG. In addition, percutaneous coronary intervention could be challenging in the setting of dextrocardia because of diffi culty in cannulating the coronary arteries, selection of catheters, catheter manipulation, image acquisition and interpretation.

摘要

右位心合并ST段抬高型心肌梗死(STEMI)是一种罕见的组合,在诊断和治疗方面带来诸多挑战。这些挑战包括右位心的早期检测以及心电图的解读。此外,由于在右位心情况下冠状动脉插管困难、导管选择、导管操作、图像采集和解读等问题,经皮冠状动脉介入治疗可能具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9351/5156663/3b8cd3f89bc5/40602_2016_10_Fig1_HTML.jpg

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