与多非利特过量及急性冠状动脉综合征同时出现的急性心电图改变
Acute Electrocardiographic Changes Coincident With Dofetilide Overdose and Acute Coronary Syndrome.
作者信息
King David J, Dutta Mudit, Goel Ramil, Xiang Kun
机构信息
Department of Medicine, University of Florida, Gainesville, Florida, USA.
VAMC and the University of Florida, Division of Cardiovascular Medicine, Gainesville, Florida, USA.
出版信息
JACC Case Rep. 2024 Nov 20;29(22):102709. doi: 10.1016/j.jaccas.2024.102709.
A 73-year-old man with atrial fibrillation and coronary disease requiring stenting to the right coronary artery 7 months prior was admitted for observation after taking an extra dofetilide dose. Troponins trended upward, and electrocardiogram demonstrated QT prolongation to 502 ms as well as T-wave inversions. The patient underwent cardiac catheterization, which revealed severe distal left main disease.
一名73岁男性，患有心房颤动和冠状动脉疾病，7个月前需要对右冠状动脉进行支架植入，因多非利特剂量服用过量入院观察。肌钙蛋白呈上升趋势，心电图显示QT间期延长至502毫秒以及T波倒置。患者接受了心脏导管插入术，结果显示左主干远端严重病变。
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