下壁ST段抬高型心肌梗死后血管成形术后精神病：一例罕见病例报告
Post-angioplasty Psychosis Following Inferior ST-segment Elevation Myocardial Infarction: A Case Report Highlighting an Uncommon Occurrence.
作者信息
Shakarami Amir
机构信息
Department of Cardiology, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
出版信息
Cardiovasc Hematol Disord Drug Targets. 2023;23(3):212-214. doi: 10.2174/011871529X262299231017183837.
INTRODUCTION
Myocardial infarction (MI) is a common disease. Nowadays, progress in the rapid management of acute coronary syndrome (ACS) has resulted in saving time and reduction of MI complications.
CASE REPRESENTATION
A 68-year-old male musician with a history of coronary artery disease (CAD), while playing fiddle, complained of severe compressive retrosternal chest pain. In the present study, we report a case of inferior ST-segment elevation MI with a post-angioplasty delusion of persecution.
CONCLUSION
Our case report has presented a distinctive occurrence of post-angioplasty psychosis following inferior ST-segment elevation myocardial infarction. The patient displayed symptoms consistent with brief psychosis, including persecutory delusions, jealousy delusions, and second-person auditory hallucinations.
引言
心肌梗死（MI）是一种常见疾病。如今，急性冠状动脉综合征（ACS）快速管理方面的进展已节省了时间并减少了MI并发症。
病例报告
一名68岁有冠状动脉疾病（CAD）病史的男性音乐家在演奏小提琴时，主诉胸骨后严重压榨性胸痛。在本研究中，我们报告了一例下壁ST段抬高型心肌梗死患者，其血管成形术后出现被害妄想。
结论
我们的病例报告呈现了下壁ST段抬高型心肌梗死后血管成形术后精神病的一种独特表现。该患者表现出与短暂精神病一致的症状，包括被害妄想、嫉妒妄想和第二人称幻听。
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