Blunt cardiac injury with scintigraphic perfusion–metabolism mismatch

Miki Morikawa; Akiyoshi Hagiwara; Taigo Sakamoto; Akio Kimura

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Blunt cardiac injury with scintigraphic perfusion–metabolism mismatch

机译：闪烁性灌注代谢代谢失调导致钝性心脏损伤

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Patient A healthy 37‐year‐old man who bruised his chest with a steel frame developed ventricular fibrillation, pulseless ventricular tachycardia, and temporary torsade de pointes, and was resuscitated with emergency medical treatment. Thallium 201 scintigraphy 7 days later revealed a defect only in a small area of the apex, whereas ~(123) I ‐beta‐methyl iodophenyl pentadecanoic acid scintigraphy showed defects in a larger area of the apex, ventricular septum, and inferior wall, indicating perfusion–metabolism mismatch. Follow‐up dual myocardial scintigraphy on day 49 showed that the scintigraphic defects persisted only at a small area of the apex. Conclusion Blunt external force appeared to have caused perfusion–metabolism mismatch and subsequent life‐threatening arrhythmias in this patient.

机译：患者一名健康的37岁男子用钢架擦伤了胸部，出现了心室纤颤，无脉性室性心动过速和临时性尖端扭转型室速，并接受了紧急医疗救助。 hall 201闪烁显像法在7天后才发现仅在小面积的先端有缺陷，而〜（123）I-β-甲基碘苯基十五烷酸闪烁显像术在大面积的先端，室间隔和下壁有缺陷，表明灌注-代谢不匹配。第49天进行的双心肌闪烁显像检查表明，闪烁显像缺陷仅在心尖的一小部分处持续存在。结论钝性外力似乎引起了该患者的灌注-代谢不匹配以及随后危及生命的心律失常。

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《Acute Medicine & Surgery》 |2014年第1期|共3页
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Miki Morikawa; Akiyoshi Hagiwara; Taigo Sakamoto; Akio Kimura;
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1. Diagnosis and Detection of Myocardial Injury in Active Cardiac Sarcoidosis - Significance of Myocardial Fatty Acid Metabolism and Myocardial Perfusion Mismatch [J] . Momose Mitsuru, Fukushima Kenji, Kondo Chisato, Circulation journal . 2015,第12期

机译：活动性心肌结节病的心肌损伤的诊断和检测-心肌脂肪酸代谢和心肌灌注不匹配的意义
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3. Diagnosis and Detection of Myocardial Injury in Active Cardiac Sarcoidosis　– Significance of Myocardial Fatty Acid Metabolism and Myocardial Perfusion Mismatch – [J] . Mitsuru Momose, Kenji Fukushima, Chisato Kondo, Circulation journal . 2015,第12期

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4. Comparison of microsphere-equivalent blood flow (15O-water PET) and relative perfusion (~(99m)Tc-tetrofosmin SPECT) in myocardium showing metabolism-perfusion mismatch [C] . W. Schafer, K. C. Koch, B. Nowak, Nordrhein-Westfa?lische Akademie der Wissenschaften . 2005

机译：微球同等血流（150水PET）和相对灌注（〜（99M）Tc-Torofosmin Spect的比较显示代谢灌注失配
5. Total Ginsenosides of Asian Ginseng Increase Coronary Artery Perfusion Flow of the Ischemia-Reperfusion Injury Rat Heart in Langendorff System through Activation of Akt-eNOS Signaling and Cardiac Energy-associate Protein Expression. [D] . Yi, Xiaoqin. 2010

机译：亚洲人参的总人参皂甙通过激活Akt-eNOS信号和心脏能量相关蛋白表达，增加Langendorff系统缺血再灌注损伤大鼠心脏的冠状动脉灌注流量。
6. Blunt cardiac injury with scintigraphic perfusion–metabolism mismatch [O] . Miki Morikawa, Akiyoshi Hagiwara, Taigo Sakamoto, 2014

机译：闪烁性灌注代谢代谢失配导致钝性心脏损伤
7. Diagnosis and Detection of Myocardial Injury in Active Cardiac Sarcoidosis – Significance of Myocardial Fatty Acid Metabolism and Myocardial Perfusion Mismatch – [O] . Mitsuru Momose, Kenji Fukushima, Chisato Kondo, 2015

机译：心肌损伤活性心肌损伤的诊断和检测 - 心肌脂肪酸代谢和心肌灌注失配的意义 -

Blunt cardiac injury with scintigraphic perfusion–metabolism mismatch

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