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鲨鱼鳍征：甲型流感感染所致应激性心肌病患者罕见的心电图表现。

Shark fin sign: A rare EKG finding in a patient with Takotsubo cardiomyopathy from influenza A infection.

作者信息

Wattanachayakul Phuuwadith, Jones Colton, Malin John, Mohan Nandakumar, Manzano Jose Martinez, Akuna Emmanuel, Amanullah Aman

机构信息

Department of Medicine Jefferson Einstein Hospital Philadelphia Pennsylvania USA.

Sidney Kimmel Medical College Thomas Jefferson University Philadelphia Pennsylvania USA.

出版信息

Clin Case Rep. 2024 Aug 17;12(8):e9158. doi: 10.1002/ccr3.9158. eCollection 2024 Aug.

DOI:10.1002/ccr3.9158
PMID:39156202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11329839/
Abstract

This case demonstrated the rare "shark fin" ECG pattern, an ST-segment elevation typically seen in acute myocardial infarction. We reported a case of takotsubo cardiomyopathy secondary to influenza A infection with multiple organ failure, showing the shark fin sign and resulting in in-patient mortality and various complication.

摘要

该病例展示了罕见的“鲨鱼鳍”心电图模式，这是一种通常在急性心肌梗死中出现的ST段抬高。我们报告了一例甲型流感感染继发应激性心肌病并伴有多器官功能衰竭的病例，该病例呈现出鲨鱼鳍征并导致住院死亡及多种并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13de/11329839/36a79c465d24/CCR3-12-e9158-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13de/11329839/50ea06b8e121/CCR3-12-e9158-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13de/11329839/36a79c465d24/CCR3-12-e9158-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13de/11329839/50ea06b8e121/CCR3-12-e9158-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13de/11329839/36a79c465d24/CCR3-12-e9158-g003.jpg

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本文引用的文献

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"Shark Fin" electrocardiogram pattern in Takotsubo cardiomyopathy.Takotsubo心肌病中的“鲨鱼鳍”心电图模式
Intern Emerg Med. 2024 Aug;19(5):1497-1500. doi: 10.1007/s11739-023-03525-z. Epub 2024 Apr 1.
2
De Winter syndrome in action: Captured on defibrillator.正在发作的德温特综合征：在除颤器上被捕捉到。
Clin Case Rep. 2024 Feb 7;12(2):e8511. doi: 10.1002/ccr3.8511. eCollection 2024 Feb.
3
Pseudo-infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report.迟发性甲状旁腺功能减退症中的假性梗死心电图改变：一例报告
Clin Case Rep. 2023 Jun 20;11(6):e7580. doi: 10.1002/ccr3.7580. eCollection 2023 Jun.
4
Epidemiology, Pathophysiology, Diagnosis, and Principles of Management of Takotsubo Cardiomyopathy: A Review.Takotsubo 心肌病的流行病学、病理生理学、诊断和治疗原则：综述。
Med Sci Monit. 2023 Mar 6;29:e939020. doi: 10.12659/MSM.939020.
5
Wernicke encephalopathy and beriberi disease presenting as STEMI-equivalent.威尼克脑病和脚气病表现为类似 ST 段抬高型心肌梗死。
Monaldi Arch Chest Dis. 2023 Feb 16;93(4). doi: 10.4081/monaldi.2023.2513.
6
Shark Fin Electrocardiogram in the Intensive Care Unit.重症监护病房中的鲨鱼鳍心电图。
Circulation. 2022 Oct 4;146(14):1099-1102. doi: 10.1161/CIRCULATIONAHA.122.062034. Epub 2022 Oct 3.
7
Triangular QRS-ST-T Waveform Electrocardiographic Pattern in Acute Myopericarditis: A Case Report from a Limited-Resources Hospital.急性心肌炎的三角型 QRS-ST-T 波心电图模式：来自一家资源有限医院的病例报告。
Am J Case Rep. 2020 Oct 26;21:e926360. doi: 10.12659/AJCR.926360.
8
The electrocardiographic 'triangular QRS-ST-T waveform' pattern: a marker of severe haemodynamic compromise in Takotsubo syndrome-a case report.心电图“三角形QRS-ST-T波形”模式：应激性心肌病严重血流动力学损害的一个标志物——病例报告
Eur Heart J Case Rep. 2020 Apr 25;4(3):1-6. doi: 10.1093/ehjcr/ytaa076. eCollection 2020 Jun.
9
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Ann Noninvasive Electrocardiol. 2018 Nov;23(6):e12581. doi: 10.1111/anec.12581. Epub 2018 Jul 9.
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J Electrocardiol. 2018 Jan-Feb;51(1):8-14. doi: 10.1016/j.jelectrocard.2017.08.023. Epub 2017 Aug 16.