冠状动脉栓塞致急性心肌梗死病例分析  

Analysis of acute myocardial infarction caused by coronary artery occlusion

作　　者：李艳兵[1] 李强[2] 关晓楠[2] 夏昆[2] 张大鹏[2] 杨新春[2] 魏妤[2] 张建军[2] 佟子川[2] LI Yanbing LI Qiang GUAN Xiaonan XIA Kun ZHNAG Dapeng YANG Xinchun WEI Yu ZHNAG Jianjun TONG Zichuan(Beijing Chao Yang Hospital Jingxi Branch, Beijing , 100043, China Beijing Chao Yang Hospital,Beijing, 100020, China)

机构地区：[1]首都医科大学附属北京朝阳医院京西院区 [2]首都医科大学附属北京朝阳医院

出　　处：《临床心血管病杂志》2016年第11期1171-1173,共3页Journal of Clinical Cardiology

摘　　要：冠状动脉栓塞导致急性心肌梗死（AMI）在临床上并不多见,本文对此类患者临床特征做一分析。 1对象与方法 2005-2015年我院共收治因冠状动脉栓塞致AMI行直接经皮冠状动脉介入治疗（PPCI）的患者共5例。其中男2例,女3例,年龄40～78岁,平均62岁。5例患者均于急诊根据临床症状、心电图表现及心肌酶学指标明确诊断AMI并行PPCI。回顾分析其临床特征及冠状动脉造影的影像学特点。We investigated the clinical and angiographic features in patients with acute myocardial infarction（AMI）due to coronary artery embolism retrospectively.There were 1patient with left atrial myxoma,1patient with non-valvar atrial fibrillation,3patients with rheumatic heart disease.Coronary angiography showed the lack of significant atherosclerosis lesions in the coronary arteries except infarct related vessels（IRA）in 5patients.Angiography suggested the presence of IRA occlusion caused by embolism.

关 键 词：冠状动脉栓塞 心肌梗死 风湿性心脏瓣膜病 冠心病 心房颤动 

分 类 号：R542.2[医药卫生—心血管疾病]