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漏斗胸患者运动试验中出现心电图假阳性改变。

False-positive electrocardiographic changes during exercise test in a patient with pectus excavatum.

机构信息

Department of Cardiology, Ospedale San Giuseppe MultiMedica IRCCS, Milan, Italy.

Department of Cardiology, Policlinico San Giorgio, Pordenone, Italy.

出版信息

J Clin Ultrasound. 2020 Nov;48(9):579-584. doi: 10.1002/jcu.22831. Epub 2020 Apr 6.

DOI:10.1002/jcu.22831
PMID:32249937
Abstract

Exercise-induced ST-segment changes simulating myocardial ischemia have been described in otherwise normal subjects during hyperventilation. We present the case of a 60-year-old man with pectus excavatum showing significant exercise-induced "pseudo-ischaemic" ST-segment changes with neither coronary artery disease nor anxiety-induced hyperventilation. We found no report of the possible causative role of a narrow antero-posterior chest diameter in inducing "pseudo-ischaemic" ST-segment changes during exercise stress test in the literature.

摘要

运动引起的 ST 段变化模拟在过度通气期间其他正常的受试者中的心肌缺血已有描述。我们提出一个 60 岁的男性胸廓凹陷症患者的病例,其在无冠心病和焦虑引起的过度通气的情况下,表现出明显的运动引起的“假性缺血”ST 段变化。我们在文献中未发现窄前后胸直径在运动应激试验中引起“假性缺血”ST 段变化的可能致病作用的报告。

相似文献

1
False-positive electrocardiographic changes during exercise test in a patient with pectus excavatum.漏斗胸患者运动试验中出现心电图假阳性改变。
J Clin Ultrasound. 2020 Nov;48(9):579-584. doi: 10.1002/jcu.22831. Epub 2020 Apr 6.
2
Truly silent ischemia and the relationship of chest pain and ST segment changes to the amount of ischemic myocardium: evaluation by supine bicycle stress echocardiography.真正的无症状性心肌缺血以及胸痛和ST段改变与缺血心肌量的关系:通过仰卧位踏车负荷超声心动图进行评估。
J Am Coll Cardiol. 1994 Feb;23(2):369-76. doi: 10.1016/0735-1097(94)90422-7.
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Brugada phenocopy in a patient with pectus excavatum: systematic review of the ECG manifestations associated with pectus excavatum.漏斗胸患者中的Brugada综合征拟表型:对与漏斗胸相关的心电图表现的系统评价
Ann Noninvasive Electrocardiol. 2013 Sep;18(5):415-20. doi: 10.1111/anec.12082.
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[Significance of electrocardiographic projection of ST-segment depression during exercise test in the prediction of the location of regional myocardial ischemia].[运动试验中ST段压低的心电图投影在预测局部心肌缺血部位中的意义]
Cardiologia. 1998 Mar;43(3):273-9.
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Pectus excavatum: abnormal exercise scintigraphy with normal coronary arteries.漏斗胸:冠状动脉正常但运动闪烁扫描异常。
J Nucl Med. 1994 Dec;35(12):1985-8.
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Protective effect of nisoldipine on dipyridamole-induced myocardial ischemia: correlation with exercise electrocardiography.尼索地平对双嘧达莫诱导的心肌缺血的保护作用:与运动心电图的相关性。
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Integrated physical therapy intervention for a person with pectus excavatum and bilateral shoulder pain: a single-case study.针对一名漏斗胸合并双侧肩部疼痛患者的综合物理治疗干预:一项单病例研究。
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[Diagnostic image (66). Pseudo-myocardial infarct due to pectus excavatum].[诊断影像(66)。漏斗胸导致的假性心肌梗死]
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[Detection of myocardial ischemia in chronic Chagas disease patients with atypic precordial pain by exercise and Holter tests].[通过运动试验和动态心电图监测对伴有非典型心前区疼痛的慢性恰加斯病患者进行心肌缺血检测]
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J Cardiovasc Echogr. 2021 Apr-Jun;31(2):85-95. doi: 10.4103/jcecho.jcecho_141_20. Epub 2021 Jul 28.
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Does chest shape influence exercise stress echocardiographic results in patients with suspected coronary artery disease?胸部形状会影响疑似冠状动脉疾病患者的运动负荷超声心动图检查结果吗?
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Appropriate use criteria implementation with modified Haller index for predicting stress echocardiographic results and outcome in a population of patients with suspected coronary artery disease.
应用改良哈勒指数实施适当使用标准以预测疑似冠心病患者人群的负荷超声心动图结果及预后
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