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异位心律患者中酷似下壁ST段抬高型心肌梗死的心房复极波（T波）

Atrial Repolarization Waves (T) Mimicking Inferior Wall ST Segment Elevation Myocardial Infarction in a Patient with Ectopic Atrial Rhythm.

作者信息

Manne Janaki Rami Reddy

机构信息

Department of Hospital Medicine, Marshfield Clinic, Marshfield, WI, USA.

出版信息

Case Rep Med. 2018 Jan 18;2018:1015730. doi: 10.1155/2018/1015730. eCollection 2018.

DOI:10.1155/2018/1015730
PMID:29559997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5822924/
Abstract

We present a case of atrial repolarization waves from an ectopic atrial rhythm mimicking inferior ST segment elevation myocardial infarction in a 78-year-old male patient who presented with left sided chest wall and shoulder pain. His ischemic workup was negative, and the ST elevations completely resolved upon the resumption of sinus rhythm before discharge.

摘要

我们报告一例78岁男性患者，其异位房性心律的心房复极波酷似下壁ST段抬高型心肌梗死，该患者表现为左侧胸壁和肩部疼痛。其缺血性检查结果为阴性，且在出院前恢复窦性心律后ST段抬高完全消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5828/5822924/9bf32fe549a1/CRIM2018-1015730.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5828/5822924/588748595aeb/CRIM2018-1015730.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5828/5822924/9bf32fe549a1/CRIM2018-1015730.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5828/5822924/588748595aeb/CRIM2018-1015730.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5828/5822924/9bf32fe549a1/CRIM2018-1015730.002.jpg

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本文引用的文献

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Early Repolarization Pattern: Another Brick in the Wall of Vagal Tone.早期复极模式：迷走神经张力之墙上的又一块砖。
Ann Noninvasive Electrocardiol. 2015 Sep;20(5):407-8. doi: 10.1111/anec.12318.
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Low atrial rhythm mimics myocardial infarction.低位房性心律酷似心肌梗死。
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Electrocardiographic patterns mimicking ST segment elevation myocardial infarction.心电图表现酷似 ST 段抬高型心肌梗死。
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Acute coronary syndromes.急性冠状动脉综合征
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Exaggerated atrial repolarization waves as a predictor of false positive exercise tests in an unselected population.
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Atrial repolarization: its role in ST elevation.
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