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一个常见的诊断难题:炎症还是梗死。

A Common Diagnostic Dilemma: Inflammation or Infarction.

作者信息

Davis Thomas S, Binder Michael Scott, Hama Amin Ali M

机构信息

Department of Internal Medicine, Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke, Virginia USA.

Cardiovascular Institute, Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke, Virginia USA.

出版信息

JACC Case Rep. 2024 Dec 4;30(2):102722. doi: 10.1016/j.jaccas.2024.102722. eCollection 2025 Jan 15.

Abstract

Early infarct-associated pericarditis is a rare entity, given the availability of early coronary angiography and intervention. Although the electrocardiogram and the surface echocardiogram are initial studies, definitive imaging with cardiac magnetic resonance is recommended. We present a case of early infarct-associated pericarditis in the setting of a late-presenting silent right coronary artery myocardial infarction.

摘要

鉴于早期冠状动脉造影和介入治疗的可及性,早期梗死相关心包炎是一种罕见的病症。虽然心电图和体表超声心动图是初步检查手段,但推荐采用心脏磁共振进行确诊成像。我们报告一例在晚期出现的无症状右冠状动脉心肌梗死背景下发生的早期梗死相关心包炎病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d900/11775806/f265decfd198/ga1.jpg

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