严重冠状动脉痉挛致急性心肌梗死和阿斯综合征发作并植入心脏转复除颤器一例

发布时间：2018-03-18 07:24

本文选题：舒张末期内径　切入点：心脏转复　出处：《中国循环杂志》2017年03期 　论文类型：期刊论文

【摘要】：正1临床资料患者男性,52岁,因发作性胸闷、胸痛4年,再发加重4 h入院。4年前,曾因生气发作胸闷、胸痛,曾于本院行冠状动脉计算机断层造影(CTA)未见冠状动脉狭窄,随后每年发作3~4次,常规服用拜阿司匹林、辛伐他汀、通心络等药物治疗。既往有5年高血压、高脂血症病史。有30年吸烟、饮酒嗜好。2014-03超声心动图示:左心房舒张末期内径39mm,左心室舒张末期内径48 mm,左心室射血分数71.6%,
[Abstract]:The male patient was 52 years old. He was admitted to hospital for 4 years because of paroxysmal chest tightness, chest pain and 4 hours of exacerbation. Four years ago, he had suffered from chest tightness and chest pain due to anger, and had undergone coronary computed tomography (CTAA) in our hospital without coronary artery stenosis. He then had three episodes four times a year. He took aspirin, simvastatin, Tongxinluo and other drugs. He had 5 years of high blood pressure and a history of hyperlipidemia. He smoked for 30 years. Drinking habits .2014-03 echocardiography showed that the left atrial end-diastolic diameter was 39mm, the left ventricular end-diastolic diameter was 48mm, the left ventricular ejection fraction was 71.6 mm, and the left ventricular ejection fraction (LVEF) was 71.6 mm.
【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】：R54

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