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心肌内肿块酷似首发时 ST 段抬高型心肌梗死。

An Intramyocardial Mass Mimicking ST-Segment Elevation Myocardial Infarct at Presentation.

机构信息

Cardiology Division, Unidade Local de Saúde da Região de Leiria, Leiria, Portugal.

Cardiology Division, Unidade Local de Saúde da Região de Leiria, Leiria, Portugal.

出版信息

J Am Coll Cardiol. 2024 Jul 9;84(2):229-231. doi: 10.1016/j.jacc.2024.05.012.

DOI:10.1016/j.jacc.2024.05.012
PMID:38960518
Abstract

ST-segment elevation on the electrocardiogram typically indicates acute myocardial infarction but can mimic ST-segment elevation myocardial infarction in various conditions. We present a case of a patient with an intramyocardial mass and anterior ST-segment elevation without significant myocardial biomarker elevation. Multimodality imaging was crucial in revealing cardiac metastasis as the attributable cause.

摘要

心电图上的 ST 段抬高通常表明急性心肌梗死，但在各种情况下也可能模拟 ST 段抬高型心肌梗死。我们报告了一例心肌内肿块和前 ST 段抬高而心肌生物标志物无明显升高的患者。多模态成像在揭示转移性心脏肿瘤为病因方面至关重要。

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