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[意外触电发作后的心室功能变化]

[Ventricular functional changes following an episode of accidental electrocution].

作者信息

Pastor Torres L, Sáenz de Tejada Morales A, Seco Vasco J R, Sáinz Hidalgo I, Vázquez García R

机构信息

Servicio de Cardiología, Hospital de Valme, Sevilla.

出版信息

Rev Esp Cardiol. 1995 Jan;48(1):66-9.

PMID:7878285
Abstract

We present a case of accidental electrocution in a 62-years-old male. After the accident he referred a non-specific thoracic pain that disappeared in a week, remaining asymptomatic since then. On the other hand, he shows a permanent electrocardiographic pattern of anterolateral subepicardial ischaemia. Myocardial function revealed by echocardiography and pertechnectate gammagraphy, showed an early primary damage, with a posterior slow tendency to recovery. Exercise treadmill test and Tallium-Dipyridamole test were normal, so an ischaemic background could be rejected in this case. No other diseases were presented, so the changes observed could be exclusively connected with the electrical accident.

摘要

我们报告一例62岁男性意外触电事故。事故发生后,他诉说有非特异性胸痛,一周后疼痛消失,此后一直无症状。另一方面,他呈现出前外侧心外膜下缺血的永久性心电图模式。超声心动图和锝-99m焦磷酸盐闪烁扫描显示的心肌功能,表现出早期原发性损伤,后期恢复缓慢。运动平板试验和双嘧达莫铊试验结果正常,因此可以排除该病例存在缺血背景。未发现其他疾病,所以观察到的变化可能仅与电击事故有关。

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