Gastric volvulus presenting as an acute coronary syndrome with long-lasting electrocardiographic changes
Shi-Lin FANG
Ming DENG
Ya-Nan PENG
Chang GAO
Qiu ZHAO
Jing LIU
Xue-Dong GAN
摘要:A sixty-one-year-old male,with a medical history of coronary heart disease and myocardial bridge (not confirmed by cardiac catheterization) in the past three years and a l-h history of sudden onset nausea,retching,diaphoresis,epigastric discomfort without any chest pain.The electrocardiogram revealed ST elevation myocardial infarction (STEMI) changes (Figure 1A).Urgent cardiac catheterization revealed mild myocardial bridge in the middle of the left anterior descending (LAD) (10% systolic compression) and normal left ventricular function without regional wall motion abnormalities.Three high-sensitivity cardiac troponin I (HSTNT) titers done at 4,8 and 20 h from the onset of symptoms were HSTNT =10.5 pg/mL,10.9 pg/mL,25.4 pg/mL (less than 26.2) with CK-MB =3 pg/mL,18 pg/mL,13 pg/mL (< 25) and the myoglobin levels were =34.8 pg/mL,39.6 pg/mL,44.5 pg/mL (< 140.1),respectively.
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论文发表日期:2019-01-01
在线出版日期:2025-08-15(本平台首次上网日期,不代表文献的发表时间)
页数:4( 309-312 )
英文信息
