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1例通过动态心电图监测诊断的无胸痛的短暂性ST段抬高和多形性心动过速病例

A Case of Transient ST Elevation and Polymorphic Tachycardia without Angina Diagnosed by Holter Monitoring.

作者信息

Farooq Ali, Alqahtani Fahad, Trabulsi Almoutassim, Kawsara Akram, Alkhouli Mohamad

机构信息

Internal Medicine, West Virginia University - Charleston Division.

Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital.

出版信息

Cureus. 2017 May 25;9(5):e1273. doi: 10.7759/cureus.1273.

DOI:10.7759/cureus.1273
PMID:28652956
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5481187/
Abstract

We report the case of 52-year-old female with recurrent episodes of palpitations and dizziness. Holter monitoring revealed transient ST elevations followed by episodes of polymorphic ventricular tachycardia associated with episodes of palpitations and dizziness. Coronary angiography revealed mildly irregular right coronary artery with 90% stenosis. The patient underwent percutaneous coronary intervention with successful placement of a stent to the mid-right coronary artery. The patient has been followed closely over a period of 12 months. There haven't been any recorded episodes of tachycardia, and the patient has remained symptom-free.

摘要

我们报告了一例52岁女性反复出现心悸和头晕的病例。动态心电图监测显示短暂性ST段抬高，随后出现多形性室性心动过速，伴有心悸和头晕发作。冠状动脉造影显示右冠状动脉轻度不规则，狭窄90%。患者接受了经皮冠状动脉介入治疗，成功在右冠状动脉中段置入了支架。患者已被密切随访12个月。没有记录到任何心动过速发作，患者一直无症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d3/5481187/c5e87f1f3c54/cureus-0009-00000001273-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d3/5481187/7ff80835f942/cureus-0009-00000001273-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d3/5481187/2e0b34d58985/cureus-0009-00000001273-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d3/5481187/c5e87f1f3c54/cureus-0009-00000001273-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d3/5481187/7ff80835f942/cureus-0009-00000001273-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d3/5481187/2e0b34d58985/cureus-0009-00000001273-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d3/5481187/c5e87f1f3c54/cureus-0009-00000001273-i03.jpg

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