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一名青少年的前壁ST段抬高型心肌梗死:诊断难题

Anterior ST-Segment Elevation Myocardial Infarction in a Teenager: A Diagnostic Dilemma.

作者信息

Almasi Simin, Asadian Sanaz, Rezaeian Nahid

机构信息

Department of Rheumatology, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.

Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

JACC Case Rep. 2024 Apr 17;29(8):102279. doi: 10.1016/j.jaccas.2024.102279.

Abstract

This study presents an unusual manifestation of Takayasu arteritis in a 16-year-old girl with significant left main and right coronary artery vasculitis. The distinct clue on the diagnosis was cardiac magnetic resonance findings of increased periaortic tissue enhancement in late gadolinium enhancement sequences. Cardiac magnetic resonance has high accuracy in the diagnosis of patients with Takayasu arteritis.

摘要

本研究报告了一名16岁女孩患高安动脉炎的不寻常表现,其左冠状动脉主干和右冠状动脉存在明显血管炎。诊断的关键线索是心脏磁共振成像在钆剂延迟增强序列中显示主动脉周围组织强化增加。心脏磁共振成像对高安动脉炎患者的诊断具有很高的准确性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11103608/2079236018f2/ga1.jpg

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