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1病例资料黄XX,女,25岁,农民。主诉:活动后心慌、气促10余年.加重1个月。现病史:患者10余年前无明显诱因出现活动后心慌、气促,伴疲倦、乏力,休息后可缓解,无明显卧位性呼吸困难、咳嗽、咳痰、咯血等。曾在当地医院就诊,体检发现心脏杂音. 相似文献
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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。 相似文献
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多发性大动脉炎累及冠状动脉致急性心肌梗死1例 总被引:1,自引:0,他引:1
1病历报告 患者,女,48岁.因发作性胸闷、胸痛半个月,加重2d,于2004年4月20日入院.患者于半个月前开始出现劳力性胸骨后闷压不适,伴左肩部放射痛,每次发作2~5min,休息后症状缓解.2d前病情加重,反复出现静息性胸闷、胸痛,且持续时间明显延长,最长一次达2h,伴出汗、气短.自述2年前血压升高,但未继续监测和治疗. 相似文献
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1 病例资料
患者,女性,27岁,已婚,农民,主因劳力后胸痛5d,加重2d入院.患者自诉5d前因劳力时突然出现胸骨后压榨样疼痛,并向咽部放射,伴有晕厥,未就诊,隔日再次出现胸痛,持续30 min左右自行缓解.2d前因持续性胸痛、发憋,休息后不能缓解,于当地县医院住院,化验心肌酶肌酸激酶1111 U/L,肌酸激酶同工酶(CK-MB)94 U/L.考虑为急性冠脉综合征,疑似急性心肌梗死,住院24 h后,转入解放军252医院进一步治疗.既往体健,育有一女(8岁,体健),无流产史,现无妊娠. 相似文献
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刘盛林 《临床心血管病杂志》2001,17(3):114
患者 ,女 ,31岁。因持续性心前区闷痛并向左肩部放射 ,伴恶心、呕吐、大汗淋漓 7h来院 ,急查心电图提示 : 导联呈 q R( q<1 /4R、时限 <0 .0 4 s) , 、a VF导联呈 r S、ST 、 、a VF呈弓背向上抬高 0 .1~0 .1 5m V,ST 、a VL 压低 0 .0 5~ 0 .1 m V,T 、 平坦、a VF倒置。急查心肌酶提示 :肌酸激酶 ( CK) 550IU/L(正常 2 4~ 1 95IU/L)、谷草转氨酶 ( SGOT)2 33IU/L (正常 <40 IU/L)。拟“急性下壁心肌梗死”收入院。入院体检 :体温 37℃ ,脉搏 70次 /min,呼吸 1 6次 /min,血压 1 2 0 /70 mm Hg( 1 mm Hg=0 .1 33k Pa) ,… 相似文献
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1 临床资料
例1,女,80岁.突发胸痛伴频繁呕吐2h入院.既往有高血压史3年,糖尿病史2年,慢性支气管炎史20余年.长期服用雷米普利,格列齐特缓释片,间断服用阿司匹林.查体:血压90/60mmHg(1mmHg=0.133kPa),脉搏(60±4)次/min,体温36.2℃,呼吸频率28次/min.神志清,痛苦病容,颈静脉无怒张.两肺呼吸音清,未闻及干湿啰音.房颤心律,心尖区可闻及3/6级收缩期杂音,主动脉瓣区可闻及2/6级收缩期杂音. 相似文献
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风湿性心脏病(风心病)和冠状动脉粥样硬化性心脏病临床上可合并存在,发病率为8.6%~11.5%,多见于高龄风心病患者。风湿性心脏病合并急性心肌梗死,可为冠状动脉粥样硬化狭窄,也可因为冠状动脉栓塞所致。本文对我院收治 相似文献
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K. MAEKAWA H. OHNISHI T. HIRASE T. YAMADA T. MATSUO 《Journal of internal medicine》1994,235(5):489-492
Abstract. A 33-year-old pregnant woman suffered from acute anteroseptal myocardial infarction at the 19th gestational week. Despite periodic attacks of myocardial ischaemia after admission, the coronary arteriograms under the use of nitroglycerin were normal. Thereafter, she remained free from the ischaemic events with diltiazem hydrochloride and delivered a healthy baby. The coronary arteriography at puerperium also showed no organic narrowing. However, the provocative test with acetylcholine chloride caused severe spasm of the left anterior descending coronary artery. These findings strongly suggest that acute myocardial infarction in this pregnant woman was caused by coronary artery spasm. 相似文献
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1 病例资料
患者,72 岁,男性,因"突发胸痛8 小时余,晕厥1 次"入院.患者于晨4 时睡眠中突发胸骨中下段后压迫样疼痛,伴后颈部胀痛,持续不缓解.伴大汗、头晕、黑蒙,伴一过性晕厥.既往史:有"高血压"史8 年,最高血压达200/100 mm Hg(1 mm Hg=0.133 kPa),服药不详,未监测血压. 相似文献
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Acute myocardial infarction is unusual in a young woman, especially with normal coronary arteriography. There are several mechanisms hypothesized, including coronary artery embolism, coronary spasm, illegal drug abuse and toxic condition. However, the etiology could be detected in only one third of these patients. Although air travel is known to precipitate deep vein thrombosis and pulmonary embolism, it is unclear whether it also causes myocardial infarction. We report a 37 year-old woman who had no risk factor for coronary artery disease, who suffered from acute myocardial infarction complicated with ventricular fibrillation after a long-distance flight across the Pacific Ocean from the United States to Taiwan. The coronary arteriogram disclosed patent coronary artery with slight intraluminal haziness in the proximal left anterior descending artery. The left ventriculogram demonstrated akinesia of anterolateral and apical segments with apical thrombus formation. We reviewed the related literature and considered the myocardial infarction in this patient was related to coronary thrombus formation after long-distance air travel. 相似文献
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Acute myocardial infarction is a life-threatening condition. Coronary dissection after blunt chest trauma is a rare event. Chest pain is a common symptom after chest trauma, which may relate to chest contusion without cardiac injury or myocardial infarction. Differentiation between minor cardiac contusion and significant cardiac injury is difficult and it is a challenge for physicians to diagnose traumatic cardiac injury early. We report a case of a 40-year-old man suffering from coronary artery dissection after a blunt chest trauma and intracranial hemorrhage after percutaneous coronary intervention. 相似文献
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Suzuki N Hiasa Y Miyazaki S Tomokane T Ogura R Miyajima H Ohara Y Yuba K Takahashi T Hosokawa S Kishi K Ohtani R 《Journal of cardiology》2005,45(5):213-217
A 56-year-old man had an attack of chest pain associated with ST-segment elevation in both the inferolateral and anteroseptal leads on electrocardiography. Emergency coronary angiography showed thrombus in the mid right coronary artery and total occlusion in the distal left anterior descending coronary artery. Intravenous heparin infusion and antiplatelet therapy were given without other coronary intervention. After 1 week, repeat coronary angiography showed neither significant stenosis nor thrombus in the coronary arteries. Severe coronary artery spasm in the left coronary artery was induced by the provocation test with intracoronary injection of 50 microg acetylcholine. He had an uneventful hospital course. This unique case demonstrated intracoronary thrombus formation in the right coronary artery and left anterior descending coronary artery simultaneously due to suspected coronary spasm. 相似文献
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Kirk Sloan David Majdalany Heidi Connolly Hartzell Schaff 《The Canadian journal of cardiology》2008,24(12):e102-e103
A 50-year-old man without previous coronary disease presented with an inferior myocardial infarction following exercise. He was initially treated with thrombolytic therapy and nitroglycerin. Subsequent coronary angiography and cardiac computed tomography demonstrated an anomalous right coronary artery originating from the left coronary sinus and passing between the aorta and main pulmonary artery. The coronary arteries were otherwise patent. The patient later underwent transaortic unroofing of the anomalous right coronary artery and was discharged in good condition. 相似文献