主动脉瘤诱发下腔 ST 段抬高型心肌梗死：病例报告。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL

Journal of investigative medicine high impact case reports Pub Date : 2024-01-01 DOI:10.1177/23247096241264634

Ahmed Qasim Mohammed Alhatemi, Ezzat Mohammed Hussain Aziz, Amjed Hussein Alwan Al-Yaseen, Hashim Talib Hashim, Zaid Haitham Abduljabbar, Salwan Qahtan Sultan, Tiba Khalid Abdulhussain, Rand Abdulhussain

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引用次数: 0

摘要

在此，我们报告了一例罕见病例，患者是一名 22 岁女性，反复出现胸痛，模仿下 ST 段抬高型心肌梗死（STEMI），但最终归因于主动脉瘤。尽管最初的诊断面临挑战，如肌钙蛋白水平正常和暂时性心电图（ECG）改变，但先进的成像技术显示胸腔内有一个巨大肿块压迫右冠状动脉。及时的多学科干预，包括动脉瘤的手术切除，使患者得到了成功的治疗，并改善了预后。本病例强调了在心肌梗死的非典型表现中考虑不寻常病因的重要性，有必要进行全面评估并与各专科合作，以优化患者护理。

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Aortic Aneurysm Mimicking Inferior ST-Elevation Myocardial Infarction: A Case Report.

Here, we report a rare case of a 22-year-old female presenting with recurrent chest pain mimicking inferior ST-elevation myocardial infarction (STEMI) but ultimately attributed to an aortic aneurysm. Despite facing initial challenges in diagnosis, such as normal troponin levels and temporary electrocardiogram (ECG) changes, advanced imaging showed a large mass in the chest pressing on the right coronary artery. Prompt multidisciplinary intervention, including surgical resection of the aneurysm, led to successful management and improved outcomes. This case highlights the importance of considering unusual etiologies in atypical presentations of myocardial infarction, necessitating comprehensive evaluation and collaboration among various specialties for optimal patient care.

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来源期刊

Journal of investigative medicine high impact case reports MEDICINE, GENERAL & INTERNAL-

CiteScore

1.90

自引率

0.00%

发文量

165

审稿时长

12 weeks

期刊介绍： The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.