导联 AVR、III、AVF、V₁、V₂、V₃和 V₄出现 ST 段抬高伴胸痛。
Chest pain with ST-elevation in leads AVR, III, AVF, V, V, V and V.
作者信息
Wang Yuehai, Zhang Yuqiang, Wang Yan, Zhai Changpeng, Gao Jie, Huang Guangyong, Ma Shengjun
机构信息
Heart Center, Liaocheng People's Hospital and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, PR China.
Department of Respiratory and Critical Care Medicine, Liaocheng People's Hospital and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, PR China.
出版信息
Clin Exp Hypertens. 2023 Dec 31;45(1):2153134. doi: 10.1080/10641963.2022.2153134.
We mistakenly diagnosed a patient with pulmonary embolism as ST-elevation acute myocardial infarction. The case complained of chest pain with ST-elevation in leads AVR, III, AVF, V, V, V and V. In addition, we also found ST- elevation >ST- elevation , Q>Q and Q. Multi-site pulmonary embolism can lead to type 2 myocardial infarction or special type of myocardial infarction with non-obstructive coronary arteries through multiple pathological mechanisms.
我们曾将一名肺栓塞患者误诊为ST段抬高型急性心肌梗死。该病例主诉胸痛，心电图显示aVR、Ⅲ、aVF、V₁、V₂、V₃和V₄导联ST段抬高。此外，我们还发现ST₁₃ > ST₃₁，Q₃ > Q₁且QⅢ > QaVR。多部位肺栓塞可通过多种病理机制导致2型心肌梗死或非阻塞性冠状动脉的特殊类型心肌梗死。
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