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嚴(yán)重冠狀動(dòng)脈痙攣致急性心肌梗死和阿斯綜合征發(fā)作并植入心臟轉(zhuǎn)復(fù)除顫器一例

發(fā)布時(shí)間:2018-03-18 07:24

  本文選題:舒張末期內(nèi)徑 切入點(diǎn):心臟轉(zhuǎn)復(fù) 出處:《中國(guó)循環(huán)雜志》2017年03期  論文類型:期刊論文


【摘要】:正1臨床資料患者男性,52歲,因發(fā)作性胸悶、胸痛4年,再發(fā)加重4 h入院。4年前,曾因生氣發(fā)作胸悶、胸痛,曾于本院行冠狀動(dòng)脈計(jì)算機(jī)斷層造影(CTA)未見(jiàn)冠狀動(dòng)脈狹窄,隨后每年發(fā)作3~4次,常規(guī)服用拜阿司匹林、辛伐他汀、通心絡(luò)等藥物治療。既往有5年高血壓、高脂血癥病史。有30年吸煙、飲酒嗜好。2014-03超聲心動(dòng)圖示:左心房舒張末期內(nèi)徑39mm,左心室舒張末期內(nèi)徑48 mm,左心室射血分?jǐn)?shù)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.
【作者單位】: 中國(guó)醫(yī)學(xué)科學(xué)院北京協(xié)和醫(yī)學(xué)院國(guó)家心血管病中心阜外醫(yī)院心內(nèi)科;
【分類號(hào)】:R54

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1 楊杰;石秀玉;孫若鵬;趙翠芬;王玉瑋;;房間隔缺損封堵術(shù)后心臟的形態(tài)學(xué)轉(zhuǎn)歸[J];臨床兒科雜志;2007年08期

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