模拟心肌梗死:蛛网膜下腔出血1例报告。

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL
Oxford Medical Case Reports Pub Date : 2024-12-28 eCollection Date: 2024-12-01 DOI:10.1093/omcr/omae154
Ezzat Mohammed Hussain Aziz, Ahmed Qasim Mohammed Alhatemi, Hashim Talib Hashim, Amir Salam Khaleel
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引用次数: 0

摘要

我们提出一个病例详细的诊断挑战,一个23岁的男性表现为突然严重的头痛,恶心,呕吐,胸重。初步评估显示血压和呼吸频率升高。急诊心电图(ECG)提示st段抬高型心肌梗死(STEMI),立即转介经皮冠状动脉介入治疗,结果显示冠状动脉正常。进一步的调查在CT脑成像上发现了池状蛛网膜下腔出血(SAH)。尽管多学科的管理,病人的病情迅速恶化,导致心脏骤停和死亡。我们的病例强调了全面评估和多学科合作在管理复杂表现中的重要性,强调了在识别和管理伴有急性症状的年轻患者并发病变时的警惕。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mimicking myocardial infarction: a subarachnoid haemorrhage case report.

We present a case detailing the diagnostic challenges of a 23-year-old male presenting with a sudden severe headache, nausea, vomiting, and chest heaviness. Initial evaluation showed elevated blood pressure and respiratory rate. An emergency electrocardiogram (ECG) indicated ST-segment elevation myocardial infarction (STEMI), leading to immediate referral for percutaneous coronary intervention, which revealed normal coronary arteries. Further investigations identified a cisternal subarachnoid haemorrhage (SAH) on CT brain imaging. Despite multidisciplinary management, the patient's condition rapidly deteriorated, resulting in cardiac arrest and mortality. Our case highlights the importance of thorough evaluation and multidisciplinary collaboration in managing complex presentations, emphasizing vigilance in recognizing and managing concurrent pathologies in young patients with acute symptoms.

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来源期刊
Oxford Medical Case Reports
Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
125
审稿时长
19 weeks
期刊介绍: Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.
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