酷似急性下壁ST段抬高型心肌梗死的严重低钙血症
Severe hypocalcemia mimicking acute inferior ST-segment elevation myocardial infarction.
作者信息
Adeel Muhammad Y, Clarke John-Ross D, Shetty Safal, Arora Ashish, Buscher Michael G
机构信息
Department of Internal Medicine, Bridgeport Hospital, Yale-New Haven Health System, Bridgeport, CT, USA.
Departments of Emergency Medicine & Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Bridgeport Hospital, Yale-New Haven Health System, Bridgeport, CT, USA.
出版信息
Oxf Med Case Reports. 2018 Nov 21;2018(12):omy103. doi: 10.1093/omcr/omy103. eCollection 2018 Dec.
We report the case of a 52-year-old gentleman, admitted to the medical intensive care unit with multiple organ system dysfunction due to acute severe pancreatitis. He was found to have severe hypocalcemia, bradycardia and an electrocardiogram (EKG) showing ST-segment elevation in infero-lateral leads. The patient was treated with intravenous calcium gluconate with prompt improvement of heart rate and reversal of EKG changes. Subsequent evaluation for myocardial ischemia was negative. We believe the EKG changes mimicking acute ST-segment elevation myocardial infarction were due to severe hypocalcemia. To our knowledge this is very rare occurrence.
我们报告了一例52岁男性患者，因急性重症胰腺炎导致多器官系统功能障碍而入住医疗重症监护病房。发现他有严重低钙血症、心动过缓，心电图（EKG）显示下侧壁导联ST段抬高。患者接受了静脉注射葡萄糖酸钙治疗，心率迅速改善，心电图变化逆转。随后对心肌缺血的评估为阴性。我们认为，模拟急性ST段抬高型心肌梗死的心电图变化是由严重低钙血症引起的。据我们所知，这种情况非常罕见。
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