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年轻女性因弥漫性左前降支冠状动脉痉挛导致心室颤动性心脏骤停。

Ventricular Fibrillation Cardiac Arrest in Young Female from Diffuse Left Anterior Descending Coronary Vasospasm.

作者信息

Wilson Christopher J, Melnychuk Eric, Bernett John

机构信息

Geisinger Commonwealth School of Medicine, Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania.

Geisinger Commonwealth School of Medicine, Geisinger Wyoming Valley, Department of Emergency Medicine, Danville, Pennsylvania.

出版信息

Clin Pract Cases Emerg Med. 2019 Oct 14;3(4):395-397. doi: 10.5811/cpcem.2019.9.43762. eCollection 2019 Nov.

DOI:10.5811/cpcem.2019.9.43762
PMID:31763597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6861043/
Abstract

This is a case of the most severe and potentially fatal complication of coronary artery vasospasm. We report a case of a 40-year-old female presenting to the emergency department (ED) via emergency medical services with chest pain. The patient experienced a ventricular fibrillation cardiac arrest while in the ED. Post-defibrillation electrocardiogram showed changes suggestive of an ST-elevation myocardial infarction (STEMI). Cardiac catheterization showed severe left anterior descending spasm with no evidence of disease. Coronary vasospasm is a consideration in the differential causes of ventricular fibrillation and STEMI seen in the ED.

摘要

这是一例冠状动脉血管痉挛最严重且可能致命的并发症。我们报告一例40岁女性患者，通过紧急医疗服务被送往急诊科，主诉胸痛。该患者在急诊科时发生心室颤动心脏骤停。除颤后的心电图显示有提示ST段抬高型心肌梗死（STEMI）的变化。心脏导管检查显示左前降支严重痉挛，无疾病证据。冠状动脉血管痉挛是急诊科所见心室颤动和STEMI鉴别诊断原因之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9bd/6861043/d3054bb00740/cpcem-03-395-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9bd/6861043/9742a50a9007/cpcem-03-395-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9bd/6861043/d3054bb00740/cpcem-03-395-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9bd/6861043/9742a50a9007/cpcem-03-395-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9bd/6861043/d3054bb00740/cpcem-03-395-g002.jpg

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