肥厚型心肌病患者的心肌梗死，但冠状动脉正常。
Myocardial Infarction in a Patient With Hypertrophic Cardiomyopathy but Normal Coronary Arteries.
机构信息
From the Department of Nuclear Medicine, State Key Laboratory of Cardiovascular Disease, Fu Wai Hospital, National Center of Cardiovascular Disease, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.
出版信息
Clin Nucl Med. 2017 Jun;42(6):e308-e310. doi: 10.1097/RLU.0000000000001642.
A 57-year-old man with a history of hypertrophic cardiomyopathy diagnosed by echocardiography experienced atypical chest pain and dyspnea for 6 months. A rest Tc-MIBI myocardial SPECT imaging and a F-FDG myocardial PET/CT imaging were performed, which showed multiple matched myocardial perfusion/metabolism defects in the left ventricle, indicating scar tissue. Surprisingly, subsequent contrast coronary angiography revealed no significant coronary artery stenosis.
一位 57 岁男性，既往经超声心动图诊断为肥厚型心肌病，因非典型胸痛和呼吸困难 6 个月就诊。行静息 Tc-MIBI 心肌 SPECT 显像和 F-FDG 心肌 PET/CT 显像，结果显示左心室多处匹配的心肌灌注/代谢缺损，提示为瘢痕组织。令人惊讶的是，随后的冠状动脉造影未见明显冠状动脉狭窄。
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