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头高位倾斜试验期间的ST段抬高型心肌梗死

ST elevation myocardial infarction during head-up tilt testing.

作者信息

Faganello Lucas Simonetto, Pimentel Mauricio, Arbo Magalhães Ana Paula, Zimerman Leandro Ioschpe

机构信息

Post-Graduate Program in Cardiology and Cardiovascular Sciences, Medical School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Cardiac Electrophysiology Group, Cardiology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

出版信息

J Cardiovasc Thorac Res. 2020;12(1):73-74. doi: 10.34172/jcvtr.2020.12. Epub 2019 Oct 5.

DOI:10.34172/jcvtr.2020.12
PMID:32211142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7080334/
Abstract

We report a case of ST elevation myocardial infarction (STEMI) during head-up tilt testing (HUTT). A 54-year-old man was admitted to our emergency department after four episodes of syncope. Treadmill test and electrophysiological study were normal. During passive HUTT, the patient had inferolateral ST elevation. Coronary angiography showed two severe lesions in the right coronary artery and circumflex artery.

摘要

我们报告一例在头高位倾斜试验（HUTT）期间发生的ST段抬高型心肌梗死（STEMI）病例。一名54岁男性在出现4次晕厥发作后被收入我院急诊科。平板运动试验和电生理检查均正常。在被动头高位倾斜试验期间，患者出现下侧壁ST段抬高。冠状动脉造影显示右冠状动脉和回旋支有两处严重病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5793/7080334/fce60571e8d5/jcvtr-12-73-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5793/7080334/fce60571e8d5/jcvtr-12-73-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5793/7080334/fce60571e8d5/jcvtr-12-73-g001.jpg

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本文引用的文献

1
2018 ESC Guidelines for the diagnosis and management of syncope.2018年欧洲心脏病学会晕厥诊断和管理指南。
Eur Heart J. 2018 Jun 1;39(21):1883-1948. doi: 10.1093/eurheartj/ehy037.
2
Ventricular fibrillation a rare complication during head-up tilt test.心室颤动是头高位倾斜试验期间一种罕见的并发症。
HeartRhythm Case Rep. 2015 Jul 7;1(5):363-365. doi: 10.1016/j.hrcr.2015.06.012. eCollection 2015 Sep.
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Syncope as a presentation of acute pulmonary embolism.晕厥作为急性肺栓塞的一种表现形式。
Ther Clin Risk Manag. 2016 Jun 27;12:1023-8. doi: 10.2147/TCRM.S105722. eCollection 2016.
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The head-up tilt test -- a cause of myocardial infarction.头高位倾斜试验——心肌梗死的一个病因。
Europace. 2004 Nov;6(6):548-51. doi: 10.1016/j.eupc.2004.08.003.
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'The Italian Protocol': a simplified head-up tilt testing potentiated with oral nitroglycerin to assess patients with unexplained syncope.“意大利方案”：一种经口服硝酸甘油强化的简化直立倾斜试验，用于评估不明原因晕厥患者。
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Vasodepressor syncope due to subclinical myocardial ischemia.亚临床心肌缺血所致血管减压性晕厥
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