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急性心肌梗死伴心电图和心肌损伤标志物正常：病例报告。

Acute myocardial infarction with normal electrocardiogram and biomarkers of cardiac injury: A case report.

机构信息

Department of Cardiology, the Affiliated Hospital of Southwest Medical University, Luzhou, China.

出版信息

Ann Noninvasive Electrocardiol. 2023 Jan;28(1):e12990. doi: 10.1111/anec.12990. Epub 2022 Jul 9.

DOI:10.1111/anec.12990
PMID:35809078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9833358/
Abstract

Patients with AMI usually present with the specific changes for electrocardiogram (ECG) and biomarkers of cardiac injury. Here, we present a rare case with chest pain and normal ECG and biomarkers of cardiac injury. Emergent coronary angiography revealed an occlusion of proximal left anterior descending coronary artery. The patient was diagnosed with AMI, and his symptom relieved after implantation of drug-eluting stents. Caution should be exercised for the exclusion of AMI in patients with chest pain and both normal ECG and biomarkers of cardiac injury.

摘要

急性心肌梗死（AMI）患者通常表现出心电图（ECG）和心肌损伤生物标志物的特异性变化。在这里，我们报告了一例胸痛且心电图和心肌损伤生物标志物均正常的罕见病例。紧急冠状动脉造影显示左前降支近端闭塞。该患者被诊断为 AMI，植入药物洗脱支架后症状缓解。对于胸痛且心电图和心肌损伤生物标志物均正常的患者，应注意排除 AMI。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/298d/9833358/d76a32f571c8/ANEC-28-e12990-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/298d/9833358/4786a16aa077/ANEC-28-e12990-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/298d/9833358/d76a32f571c8/ANEC-28-e12990-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/298d/9833358/4786a16aa077/ANEC-28-e12990-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/298d/9833358/d76a32f571c8/ANEC-28-e12990-g001.jpg

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