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透壁性心肌梗死合并二尖瓣叶脱垂综合征及冠状动脉正常。

Transmural myocardial infarction with the prolapsing mitral-leaflet syndrome and normal coronary arteries.

作者信息

Imaizumi T, Chandraratna P A, Whayne T F, Schechter E, Bhatia S K

出版信息

Arch Intern Med. 1978 Sep;138(9):1354-5. doi: 10.1001/archinte.138.9.1354.

DOI:10.1001/archinte.138.9.1354
PMID:686924
Abstract

Clinical and electrocardiographic evidence of transmural myocardial infarction developed in two patients (a woman, age 38, and a boy, age 17) with prolapsing mitral-leaflet syndrome. Both had normal coronary angiograms and normal plasma lipid levels. Left ventricular angiography showed dyskinetic areas in both patients. Coronary artery embolism or prolonged coronary artery spasm may have been the underlying mechanism of production of myocardial infarction.

摘要

两名患有二尖瓣脱垂综合征的患者(一名38岁女性和一名17岁男孩)出现了透壁性心肌梗死的临床和心电图证据。两人冠状动脉造影正常,血脂水平也正常。左心室造影显示两名患者均有运动障碍区域。冠状动脉栓塞或冠状动脉长时间痉挛可能是心肌梗死发生的潜在机制。

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