Beeson M S, Schiavone W A
Summa Health System, Department of Emergency Medicine, Akron, OH 44309, USA.
Am J Emerg Med. 1997 Mar;15(2):155-7. doi: 10.1016/s0735-6757(97)90089-9.
Acute myocardial infarction associated with ventricular septal defect (VSD) occurs infrequently. When a patient with an acquired VSD presents to the emergency department (ED), prompt recognition is required because definitive treatment can greatly decrease mortality. We present the case of a 75-year-old woman with an acute myocardial infarction and a new heart murmur. The diagnosis of acquired VSD was made by echocardiography in the ED, and emergency surgical correction was arranged.
急性心肌梗死合并室间隔缺损（VSD）的情况并不常见。当一名后天性室间隔缺损患者前往急诊科（ED）就诊时，需要迅速做出诊断，因为确定性治疗可显著降低死亡率。我们报告一例75岁女性患者，患有急性心肌梗死且出现新的心脏杂音。在急诊科通过超声心动图确诊为后天性室间隔缺损，并安排了急诊手术矫正。
