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蛛网膜下腔出血时短暂性ST段抬高及左心室运动不协调与冠状动脉正常及Tc-99m焦磷酸心肌梗死扫描的相关性

Transient ST elevation and left ventricular asynergy associated with normal coronary artery and Tc-99m PYP Myocardial Infarct Scan in subarachnoid hemorrhage.

作者信息

Chang P C, Lee S H, Hung H F, Kaun P, Cheng J J

出版信息

Int J Cardiol. 1998 Jan 31;63(2):189-92. doi: 10.1016/s0167-5273(97)00293-3.

DOI:10.1016/s0167-5273(97)00293-3
PMID:9510495
Abstract

A 72-year-old woman who presented with transient electrocardiographic ST segment elevation and left ventricular asynergy in an acute phase of subarachnoid hemorrhage was found to have normal coronary angiogram and normal Tc-99m PYP myocardial infarct scan. These findings suggested that noninvasive Tc-99m PYP myocardial infarct scan could substitute coronary angiogram for differentiating wall motion and electrocardiographic abnormalities secondary to subarachnoid hemorrhage from those caused by coronary artery disease in patients with subarachnoid hemorrhage.

摘要

一名72岁女性在蛛网膜下腔出血急性期出现短暂性心电图ST段抬高和左心室运动不协调,冠状动脉造影和锝-99m焦磷酸心肌梗死扫描均正常。这些结果提示,对于蛛网膜下腔出血患者,无创性锝-99m焦磷酸心肌梗死扫描可替代冠状动脉造影,以鉴别蛛网膜下腔出血继发的室壁运动和心电图异常与冠状动脉疾病所致的异常。

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