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急性左前降支近端冠状动脉闭塞伴正常心电图：病例报告。

Acute proximal left anterior descending coronary artery occlusion presenting with Normal ECG: A case report.

机构信息

Department of Cardiology, Tianjin Chest Hospital, Tianjin University, Chest Clinical Medical College of Tianjin Medical University, Tianjin, China.

Department of Cardiology, People's Hospital of Hotan District in Xinjiang, Xinjiang, China.

出版信息

Ann Noninvasive Electrocardiol. 2022 Nov;27(6):e12987. doi: 10.1111/anec.12987. Epub 2022 Sep 5.

DOI:10.1111/anec.12987
PMID:36062899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9674792/
Abstract

The middle-aged male was diagnosed with "acute anterior wall myocardial infarction" based on clinical symptoms, laboratory examination, and coronary angiography (CAG), but his ECG showed no significant change in QRS wave or ST-T within 6 h of admission. Thus, a perfect explanation with the existing theory is difficult, and only the case is presented here.

摘要

该中年男性根据临床症状、实验室检查和冠状动脉造影（CAG）诊断为“急性前壁心肌梗死”，但入院后 6 小时内其心电图 QRS 波和 ST-T 无明显变化。因此，用现有理论很难给出完美的解释，这里仅呈现该病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eda/9674792/4b9a9d0a7154/ANEC-27-e12987-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eda/9674792/633330eff164/ANEC-27-e12987-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eda/9674792/39640519c50e/ANEC-27-e12987-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eda/9674792/4b9a9d0a7154/ANEC-27-e12987-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eda/9674792/633330eff164/ANEC-27-e12987-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eda/9674792/39640519c50e/ANEC-27-e12987-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eda/9674792/4b9a9d0a7154/ANEC-27-e12987-g004.jpg

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本文引用的文献

1
STEMI: A transitional fossil in MI classification?ST 段抬高型心肌梗死：MI 分类中的过渡性化石？
J Electrocardiol. 2021 Mar-Apr;65:163-169. doi: 10.1016/j.jelectrocard.2021.02.001. Epub 2021 Feb 13.
2
Coronary collaterals in patients with ST-elevation myocardial infarction presenting late after symptom onset.症状发作后延迟就诊的 ST 段抬高型心肌梗死患者的侧支循环。
Clin Res Cardiol. 2020 Oct;109(10):1307-1315. doi: 10.1007/s00392-020-01625-w. Epub 2020 Mar 13.
3
[Update ESC Guideline 2017 - Acute Myocardial Infarction (STEMI)].
[2017年欧洲心脏病学会急性ST段抬高型心肌梗死指南更新]
Dtsch Med Wochenschr. 2018 Jun;143(11):797-801. doi: 10.1055/a-0494-0341. Epub 2018 May 28.
4
Acute coronary syndrome with a totally occluded culprit artery: relation of the ST injury vector with ST-elevation and non-ST elevation ECGs.罪犯血管完全闭塞的急性冠状动脉综合征：ST段损伤向量与ST段抬高型和非ST段抬高型心电图的关系
J Electrocardiol. 2014 Mar-Apr;47(2):183-90. doi: 10.1016/j.jelectrocard.2013.11.009. Epub 2013 Nov 27.
5
ST-elevation and non-ST-elevation acute coronary syndromes: should the guidelines be changed?ST段抬高型和非ST段抬高型急性冠状动脉综合征：指南是否应做出改变？
J Electrocardiol. 2013 Jul-Aug;46(4):318-23. doi: 10.1016/j.jelectrocard.2013.04.005. Epub 2013 May 18.