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正常单冠状动脉与心肌梗死

Normal single coronary artery and myocardial infarction.

作者信息

Warren S E, Alpert J S, Vieweg W V, Hagan A D

出版信息

Chest. 1977 Oct;72(4):540-3. doi: 10.1378/chest.72.4.540.

DOI:10.1378/chest.72.4.540
PMID:908229
Abstract

A single left coronary artery was found in an asymptomatic 21-year-old man who initially had electrocardiographic and vectorcardiographic evidence of anterolateral myocardial infarction. The single left coronary artery, which supplied the distribution of both the left and right coronary arteries, was free of disease at catheterization. There has been no previous association of a normal single left coronary artery and anterior myocardial infarction. Patients with the finding of a single coronary artery should be watched closely, as this may represent a potentially fatal condition.

摘要

在一名21岁无症状男性中发现单一左冠状动脉,该患者最初有前外侧心肌梗死的心电图和心电向量图证据。这根单一左冠状动脉供应了左、右冠状动脉的分布区域,在导管检查中未发现病变。此前并无正常单一左冠状动脉与前壁心肌梗死相关的报道。发现单一冠状动脉的患者应密切观察,因为这可能代表一种潜在的致命情况。

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引用本文的文献

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2
Percutaneous coronary intervention for acute myocardial infarction in a single coronary artery anomaly.经皮冠状动脉介入治疗单发冠状动脉异常所致急性心肌梗死。
Clin Cardiol. 2009 Nov;32(11):E49-51. doi: 10.1002/clc.20429.
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Asymptomatic single coronary artery in patient with severe peripheric artery disease.患有严重外周动脉疾病患者的无症状单支冠状动脉
Int J Cardiovasc Imaging. 2007 Apr;23(2):273-6. doi: 10.1007/s10554-006-9113-8. Epub 2006 Jul 5.
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The athletic heart revisited: sudden death of a 28-year-old athlete.再探运动员心脏:一名28岁运动员的猝死
West J Med. 1979 Nov;131(5):441-7.