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Acute Inferior Wall ST-Elevated Myocardial Infarction with Normal Coronary Arteries

机译:急性下壁ST抬高的心肌梗死伴冠状动脉正常

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A 59-year old woman presented to the ER complaining of chest pain. ECG showed sinus rhythm at the rate of 72 beats per minute and ST segment elevations in Lead II, III, aVF. A Code STEMI was activated for emergent cardiac catheterization, which revealed the patient had normal coronary arteries with normal left ventricular systolic function. During the procedure, her symptoms of chest pain resolved. ECG, urine toxicology, and echocardiogram tests were done in the ICU, which were normal. The patient was eventually discharged home and scheduled to follow up with cardiology and primary care physician.
机译:一名59岁的妇女因出现胸痛而向急诊室求诊。心电图显示窦性心律,速率为每分钟72次搏动,铅II,III,aVF中ST段抬高。激活STEMI代码以进行紧急心脏导管插入术,这表明患者的冠状动脉正常,左心室收缩功能正常。在手术过程中,她的胸痛症状得以缓解。在ICU中进行了ECG,尿毒理学和超声心动图检查,这是正常的。该患者最终出院回家,并计划接受心脏病学和初级保健医师的随访。

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