From the Department of Radiology, Duke University Hospital, 2300 Erwin Rd, DUMC Box 3808, Durham, NC 27710.
Radiology. 2020 Feb;294(2):478-481. doi: 10.1148/radiol.2019171881.
HistoryA 47-year-old Sudanese man without a known remarkable medical history presented to the emergency department for a syncopal episode. The patient denied chest pain, dyspnea, focal weakness, or prior similar episodes. He was originally from north Sudan and eventually moved to Saudi Arabia, where he worked as a farm manager before emigrating to the United States years ago. Physical examination findings and routine laboratory values, including complete blood count and basic metabolic panels, were normal. Electrocardiography revealed nonspecific T-wave inversions, and a series of cardiac biomarkers were negative. A contrast material-enhanced CT angiography pulmonary embolism protocol and cardiac MRI were performed for further evaluation.
一名 47 岁的苏丹男性，无明显的既往病史，因晕厥发作到急诊就诊。患者否认胸痛、呼吸困难、局灶性无力或既往类似发作。他原籍苏丹北部，最终移居沙特阿拉伯，在那里他曾担任农场经理，几年前移民到美国。体格检查和常规实验室检查结果均正常，包括全血细胞计数和基本代谢面板。心电图显示非特异性 T 波倒置，一系列心脏生物标志物均为阴性。为进一步评估，进行了对比增强 CT 肺动脉造影和心脏 MRI。
