肌钙蛋白可能会“说谎”：识别一例不典型的Wellens综合征病例。
Troponin May Lie: Recognizing an Atypical Case of Wellens Syndrome.
作者信息
Benjanuwattra Juthipong, Castillo-Rodriguez Cristian, Das Manisha, Zulfiqar Shaheer, Arif Imran
机构信息
Division of Cardiology University of Cincinnati Cincinnati Ohio USA.
Division of Internal Medicine Texas Tech University Health Sciences Center Lubbock Texas USA.
出版信息
Clin Case Rep. 2025 May 12;13(5):e70440. doi: 10.1002/ccr3.70440. eCollection 2025 May.
Wellens syndrome is associated with a critical coronary artery stenosis and an impending extensive myocardial infarction. Despite having chest pain, both ECG and troponin can be misleading. It is crucial to recognize this syndrome to allow urgent revascularization. Failure to recognize and noninvasive stress tests were shown to be detrimental.
Wellens综合征与严重冠状动脉狭窄及即将发生的大面积心肌梗死相关。尽管存在胸痛，但心电图和肌钙蛋白检查结果可能具有误导性。识别该综合征对于实现紧急血运重建至关重要。未能识别以及进行无创负荷试验已被证明是有害的。
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