自发性左右冠状动脉夹层致急性心肌梗死1例  

One case of acute myocardial infarction caused by spontaneous left and right coronary artery dissection

作　　者：王蒙[1] 高东学[1] 徐庆国[1] 张迅英[1] 

机构地区：[1]山东省交通医院心内科,济南250031

出　　处：《临床心血管病杂志》2013年第2期158-159,共2页Journal of Clinical Cardiology

摘　　要：1病例资料患者，女，49岁，绝经3年，因发作性心慌、胸闷、胸痛10年余，加重1个月入院。患者10余年前开始出现心慌、胸闷及胸痛，多于劳累和受凉感冒后出现，每次持续时间不定，口服“速效救心丸”可以缓解。1个月前患者受凉感冒后再次出现上述症状，并且发作次数较前明显增加，A 49-year-old woman has suffered from paroxysmal palpitation, chest pain and stuffiness for more than 10 years and aggravated for one month. The ECG manifested V2--V4 lead ST segment depressed 0.1--0.2 mV and T wave inverted. The initial diagnosis was unstable angina pectoris. Three days after admission, chest pain and stuffiness aggravated suddenly with headache, fever and dysphoria. The immediate ECG was V2--V6 lead ST segment depressed 0. 05--0. 15 mV, aVR lead ST segment elevated 0.1 mV, high sensitive cardiac troponin elevat ed, echoeardiography showed that the motion of anterolateral wall and apex section reduced, selective CAG found spontaneous LAD and RCA dissection. Clinical symptoms disappeared completely after PCI one week later.

关 键 词：心肌梗死 冠状动脉夹层 经皮冠状动脉介入治疗 

分 类 号：R542.2[医药卫生—心血管疾病]