Przybojewski J Z, Gilburt S G
S Afr Med J. 1983 Dec 17;64(26):1026-32.
The clinical presentation of a young hypertensive White man with acute high lateral non-transmural myocardial infarction (MI) is documented. This diagnosis was established on the grounds of a history of chest pain, elevated serial serum enzyme levels, technetium-99m pyrophosphate ('hot-spot') scintigraphy, exercise thallium-201 ('cold-spot') scanning, left ventricular cine angiography and selective coronary arteriography. Daily resting 12-lead ECGs failed to demonstrate unequivocal features of acute non-transmural subendocardial MI. The diagnostic difficulties facing the clinician in a case of acute MI associated with a non-diagnostic ECG are stressed, and the ECG features of acute subendocardial MI are reviewed.
记录了一名患有急性高位侧壁非透壁性心肌梗死（MI）的年轻高血压白人男性的临床表现。该诊断基于胸痛病史、系列血清酶水平升高、锝-99m焦磷酸盐（“热点”）闪烁扫描、运动铊-201（“冷点”）扫描、左心室电影血管造影和选择性冠状动脉造影。每日静息12导联心电图未能显示明确的急性非透壁性心内膜下MI特征。强调了临床医生在急性MI伴非诊断性心电图病例中面临的诊断困难，并回顾了急性心内膜下MI的心电图特征。
