一例病态肥胖患者急性冠状动脉闭塞，心电图表现为低QRS波电压掩盖病情
A Case of Acute Coronary Occlusion in a Morbidly Obese Patient Masked on Electrocardiogram by Low QRS Voltage.
作者信息
Golightly Jeffrey, Shipman Stacia, Owens Ross, Painter Kelly
机构信息
INTEGRIS Southwest Medical Center, Oklahoma City, OK, USA.
出版信息
J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620903133. doi: 10.1177/2324709620903133.
Abstract
Timely diagnosis of acute coronary occlusion is essential to avoid chronic cardiac impairment and death. We describe an uncommon case of acute myocardial infarction masked by low QRS voltage secondary to morbid obesity. This case highlights the importance of considering the degree of ST-segment elevation proportionally to the QRS amplitude if there is clinical suspicion of acute coronary occlusion.
摘要
急性冠状动脉闭塞的及时诊断对于避免慢性心脏损害和死亡至关重要。我们描述了一例罕见的急性心肌梗死病例，其因病态肥胖继发的低QRS电压而被掩盖。该病例强调了在临床怀疑急性冠状动脉闭塞时，根据QRS波振幅按比例考虑ST段抬高程度的重要性。
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