T型转位心肌梗死,非阻塞性冠状动脉和反复胸部应激和胸痛的64岁妇女

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摘要

非阻塞性冠状动脉心肌梗死(MINOCA),常见于老年妇女。它与冠状动脉梗阻性梗死的不同之处在于,它通常不伴有高血压、高脂血症或糖尿病。我们提出了一例MINOCA,其中心电图(ECG)作为评估病情严重程度的参数。一名64岁女性,表现为急性心肌梗死症状。心电图显示T波改变(Tⅱ、ⅲ、avF、V4-V6反转)。心脏磁共振(CMR)成像证实下心室壁存在心肌缺血。经一系列治疗,随访1个月心电图检查T波恢复正常。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
T inversion myocardial infarction, non-obstructive coronary arteries and repeated chest stress and chest pain in a 64 year-old-woman
Myocardial infarction with non-obstructive coronary arteries (MINOCA), usually affect old women. It differs from infarction with obstructive coronary arteries in that it is not frequently associated with hypertension, hyperlipidemia or diabetes. We present a case of MINOCA where electrocardiogram (ECG) acted as a parameter of evaluation of the severity of the condition. A 64-year-old woman presented with the symptoms of acute myocardial infarction. ECG showed T wave changes (T ⅱ, ⅲ, avF, V4-V6 inversion). Cardiac magnetic resonance (CMR) imaging confirmed the presence of myocardial ischemia of the inferior ventricular wall. T wave returned to normal on ECG examination after 1 month of follow up after a series of treatments.
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