Kuzemczak Michal, Kasinowski Ryszard, Skrobich Piotr, Podlewski Roland, Kalmucki Piotr
Department of Medical Rescue, University of Medical Sciences, Poznan, Poland.
Department of Intervetional Cardiology, Cardiac Hospital, Kowanowko, Poland.
Cardiol Res. 2018 Dec;9(6):395-399. doi: 10.14740/cr798. Epub 2018 Dec 7.
ST-segment elevation myocardial infarction (STEMI) due to simultaneous double vessel thrombotic occlusion of two major coronary arteries is an extremely rare clinical entity. Available studies indicate that most frequently it affects two coronary arteries originating from different sides of a coronary tree (i.e. right coronary artery (RCA) and left anterior descending artery (LAD) or RCA and left circumflex artery (LCx)) and usually has a fatal clinical course. However, it must be pointed out that the data have been derived from studies before the era of a widely-used pre-hospital electrocardiogram (ECG) teletransmission. Herein, we present a case report of successfully-treated STEMI due to simultaneous occlusion of LAD and LCx. Furhtermore, the case report highlights a crucial role of ECG teletransmission for immediate treatment and survival of patients with the so-called "the deadly double infarct syndrome".
由于两条主要冠状动脉同时发生双支血管血栓性闭塞导致的ST段抬高型心肌梗死（STEMI）是一种极其罕见的临床病症。现有研究表明，这种情况最常影响起源于冠状动脉树不同侧的两条冠状动脉（即右冠状动脉（RCA）和左前降支动脉（LAD）或RCA和左旋支动脉（LCx）），并且通常具有致命的临床病程。然而，必须指出的是，这些数据来自广泛使用院前心电图（ECG）远程传输时代之前的研究。在此，我们报告一例因LAD和LCx同时闭塞而成功治疗的STEMI病例。此外，该病例报告强调了ECG远程传输对于所谓“致命双梗死综合征”患者的即时治疗和生存的关键作用。
