急性心肌梗死还是心尖球形综合征?  

Acute myocardial infarction or apical ballooning syndrome?

作　　者：何偲[1] 杨人强[1] 黄铁球[1] 姜醒华[1] 洪葵[1] 吴延庆[1] 吴清华[1] 程晓曙[1] 

机构地区：[1]南昌大学第二附属医院心血管内科,南昌330006

出　　处：《临床心血管病杂志》2015年第12期1362-1364,共3页Journal of Clinical Cardiology

基　　金：国家"十二五"科技支撑计划(No:2013BAI05B10);国家自然科学基金编号(No:81160027)

摘　　要：1病例资料患者,女,49岁,因急性胸痛发作4 h入院。既往有十二指肠溃疡病史,贫血病史10余年,未规范药物治疗。否认高血压、糖尿病等慢性病史。吸烟20余年,20支/d,月经正常。体检：血压142/90mmHg（1 mmHg=0.133 kPa）,轻度贫血貌,急性病容,双肺呼吸音清,未闻及干湿哕音,心率73次/min,心音稍低钝,心律齐,未闻及心脏杂音及附加音。A 49-year-old premenopausal woman was transferred to an urgent coronary angiography complaining of acute onset chest pain for four hours.Coronary angiography revealed interrupted flow in the far-end of left anterior descending（LAD） and left circumflex（LCX） and obtuse marginal branch with normal flow right coronary arteries.Left ventriculography showed extensive severe hypokinesis in the apical segments.The diagnoses of acute myocardial infarction（AMI） was argued to be established and pharmacotherapy was initiated.On the eighth day,the reexamination of coronary angiography showed that the interrupted flow of coronary arteries had completely recovered.Left ventriculography showed significant recovery of extensive hypokinesis in the apical segments.The diagnosis was re-evaluated and made a definite diagnosis of apical ballooning syndrome later.

关 键 词：急性心肌梗死 心尖球形综合征 

分 类 号：R542.2[医药卫生—心血管疾病]