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一名急性升主动脉夹层患者出现鲨鱼鳍样心电图模式。

Shark fin ECG pattern in a patient with acute ascending aortic dissection.

作者信息

Caccioppola Alessio, Russo Filippo Maria, Molho Enrico, Fargione Lorenzo, Guareschi Alessandro, Colombo Federico, Jachetti Alessandro

机构信息

Department of Anesthesia and Critical Care, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy.

Department of Clinical Sciences and Community Health, University of Milan, Milan, MI, Italy.

出版信息

Int J Emerg Med. 2024 Oct 10;17(1):154. doi: 10.1186/s12245-024-00732-z.

DOI:10.1186/s12245-024-00732-z
PMID:39390376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11465929/
Abstract

The 'shark-fin' ECG-sign is a rare electrocardiographic pattern seen in ACS, typically associated with poor prognosis. However, its manifestation in acute aortic syndromes remains largely unexplored. Here, we present a case of a patient diagnosed with Ascending Aortic Dissection, who presented to ED with acute chest pain and shark-fin ECG-pattern.

摘要

“鲨鱼鳍”心电图征是急性冠状动脉综合征(ACS)中一种罕见的心电图表现形式,通常与预后不良相关。然而,其在急性主动脉综合征中的表现仍 largely unexplored。在此,我们报告一例诊断为升主动脉夹层的患者,该患者因急性胸痛和“鲨鱼鳍”心电图模式就诊于急诊科。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/128a/11465929/2c7b6152524b/12245_2024_732_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/128a/11465929/2c7b6152524b/12245_2024_732_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/128a/11465929/2c7b6152524b/12245_2024_732_Fig1_HTML.jpg

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本文引用的文献

1
Shark fin electrocardiogram pattern in apical hypertrophic cardiomyopathy: a rare case.肥厚型心肌病心尖部鲨鳍样心电图表现:1例罕见病例
QJM. 2024 Jun 25;117(6):450-451. doi: 10.1093/qjmed/hcae024.
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2023 ESC Guidelines for the management of acute coronary syndromes.2023年欧洲心脏病学会急性冠状动脉综合征管理指南。
Eur Heart J. 2023 Oct 12;44(38):3720-3826. doi: 10.1093/eurheartj/ehad191.
3
A 'shark'-masked electrocardiogram: case report of a Tako-Tsubo syndrome.一例“鲨鱼”面具样心电图:应激性心肌病病例报告
Eur Heart J Case Rep. 2021 May 7;5(5):ytab132. doi: 10.1093/ehjcr/ytab132. eCollection 2021 May.
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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.
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The electrocardiographic "triangular QRS-ST-T waveform" pattern in patients with ST-segment elevation myocardial infarction: Incidence, pathophysiology and clinical implications.ST段抬高型心肌梗死患者的心电图“三角形QRS-ST-T波形”模式:发生率、病理生理学及临床意义
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2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC).2014年欧洲心脏病学会(ESC)主动脉疾病诊断和治疗指南:涵盖成人胸主动脉和腹主动脉急慢性疾病的文件。欧洲心脏病学会(ESC)主动脉疾病诊断和治疗特别工作组。
Eur Heart J. 2014 Nov 1;35(41):2873-926. doi: 10.1093/eurheartj/ehu281. Epub 2014 Aug 29.