急性前壁心肌梗死合并左冠状动脉回旋支左心室漏1例  

A case of acute anterior wall myocardial infarction with left circumflex coronary artery fistula leaked into the left ventricular

作　　者：吴辉[1] 杨俊[1] 丁家望[1] 李松[1] 杨简[1] 汪心安[1] 董武松[1] 陈勇[1] 郭柱力[1] 

机构地区：[1]三峡大学心血管病研究所&宜昌市中心人民医院心血管内科,湖北宜昌443003

出　　处：《临床心血管病杂志》2015年第10期1138-1140,共3页Journal of Clinical Cardiology

摘　　要：1病例资料 患者,女,61岁。因“胸痛、胸闷10d”入院。于10d前无明显诱因突发剧烈胸痛,伴胸闷,持续不缓解,伴出汗,伴左侧肩胛区及左上肢放射痛,无心悸、气短,无腹痛及腰背部疼痛,无恶心、呕吐,无头晕、头痛,无黑曚、晕厥。就诊于当地医院,查心电图示V1-V5导联ST段弓背上抬0.1-0.5mV,肌酸激酶同工酶（CK-MB）60.6ng/ml,肌钙蛋白I（cTnI）23.25ng/ml,肌红蛋白（myo）362.5ng/ml,诊断为急性前侧壁心肌梗死,给予尿激酶针剂120万U溶栓、抗血小板聚集、抗凝、调脂、改善心肌供血及对症治疗后患者症状好转，为进一步诊治转入我院。A 61-year-old woman complained of severe chest pain ten days ago.At that time,the electrocardiogram showed ST segment of V1-V5 leads had an elevation of 0.1-0.5mV,and myocardial damage markers were positive.Coronary angiography showed that there was a left circumflex coronary artery fistula,which leaked into the left ventricular.

关 键 词：急性心肌梗死 冠状动脉瘘 

分 类 号：R541.4[医药卫生—心血管疾病]