急性心肌梗死心电图特殊表现二例

发布时间：2018-05-04 11:51

本文选题：发作性胸痛 + 右心室心肌梗死　；参考：《中国循环杂志》2016年11期

【摘要】：正1临床资料病例1:女性,47岁,因发作性胸痛6天,加重并持续2小时于2015-09-06入院。入院6天前饱餐后出现胸骨后疼痛,向双上肢放射,持续半小时自行缓解。2015-09-05晚22时再次胸痛,持续不缓解。23:23就诊于我院急诊。既往体健。入院查体:BP:158/90 mm Hg(1mm Hg=0.133k Pa),HR:62bpm,心肺查体(-),双下肢无水肿。心电图:II、III、aVF、V_2~V_7导联ST段抬高0.1~0.3m V,V_8~V_9导联ST段略抬高;经皮冠状动脉介入治疗(PCI)术后心电图相应导联ST段回落;第3日心电图
[Abstract]:Case 1 Clinical data: female, 47 years old, were admitted to hospital in 2015-09-06 for 6 days due to paroxysmal chest pain. After full meal 6 days before admission, the patient developed post-sternal pain and radiated to both upper limbs. The patient continued to relieve the chest pain again at 22:00 in the evening of 2015-09-05. The patient was admitted to the emergency department with no relief of .23: 23. Past physical fitness. The patients were admitted to the hospital and examined at: BP: 158mm / 90mm Hg(1mm Hg=0.133k Pao, HR: 62bpm, cardiopulmonary examination, no edema in both lower extremities. St segment elevation of 0.1 to 0.3m V8 / V9 leads in St segment elevation; St segment decrease in leads corresponding to percutaneous coronary intervention (PCI) after percutaneous coronary intervention (PCI); and electrocardiogram (ECG) on the 3rd day after PCI.
【作者单位】：中国医学科学院北京协和医学院国家心血管病中心阜外医院心内科;
【分类号】：R542.22

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