Dina Ayodeji, Barlis Peter, van Gaal William
Department of Cardiology, Northern Hospital, 185 Cooper Street, Epping, VIC 3076, Australia.
Faculty of Medicine, Dentistry and Health Sciences, Melbourne Medical School, The University of Melbourne, 175 Cooper Street, Epping, VIC 3076, Australia.
Case Rep Cardiol. 2018 Jul 19;2018:5026107. doi: 10.1155/2018/5026107. eCollection 2018.
Chest pain and troponin elevation may be due to an acute coronary syndrome, myocarditis, acute cardiomyopathy, or other less common conditions. Management differs depending on the aetiology, and the pathophysiologic diagnosis has direct implications on treatment and patient outcomes. History and clinical examination is supplemented by selected investigations including the electrocardiogram, chest X-ray, echocardiography, coronary angiography, and even myocardial perfusion scintigraphy or cardiac magnetic resonance imaging. Intravascular imaging can provide important insights into the underlying mechanism of acute coronary syndromes, especially when angiography is ambiguous.
胸痛和肌钙蛋白升高可能由急性冠状动脉综合征、心肌炎、急性心肌病或其他较罕见的情况引起。治疗方法因病因不同而异，病理生理诊断对治疗和患者预后有直接影响。病史和临床检查辅以包括心电图、胸部X线、超声心动图、冠状动脉造影，甚至心肌灌注闪烁扫描或心脏磁共振成像在内的特定检查。血管内成像可以为急性冠状动脉综合征的潜在机制提供重要见解，尤其是在血管造影结果不明确时。
