心尖球形综合征误诊为急性非ST段抬高性心肌梗死1例  

One case for misdiagnosis of apical ballooning syndrome in acute non-ST-segment elevation myocardial infarction

作　　者：伍崇海 钟赟[1] 徐丽敏[1] 林晓圳[1] 黄桢钧 胡明[1] 叶菁[1] 刘世明[1] 

机构地区：[1]广州医科大学附属第二医院心内科广州心血管疾病研究所,广州510260 [2]广州医科大学

出　　处：《临床心血管病杂志》2014年第3期266-267,共2页Journal of Clinical Cardiology

摘　　要：心尖球形综合征（apical ballooning syndrome，ABS）在日本、欧洲及美国均有系列病例报道，在中国报道不多。笔者在临床中遇到1例，现报道如下，以提高临床医生对此疾病的认识，减少误诊误治。A female patient in 49-year-old had regular menstrual periods. She had chest pain for 20 hours, with cTnI increased and ECG showed non-ST-segment elevation and T wave abnormalities matching the clinical manifestations of acute non-ST-segment elevation myocardial infarction. But coronary angiography showed ventric- ular wall dysfunction without significant culprit obstructive coronary artery. With patient＇s clinical manifestations and other data, she had been diagnosed as apical ballooning syndrome in the end.

关 键 词：心尖球形综合征 急性非ST段抬高性心肌梗死 误诊 

分 类 号：R542.2[医药卫生—心血管疾病]