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首页> 外文期刊>The journal of Tehran Heart Center. >Discordance between the Clinical Presentation and Morphology of Myocardial Infarction in a Patient with Acute post-Hemorrhagic Anemia
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Discordance between the Clinical Presentation and Morphology of Myocardial Infarction in a Patient with Acute post-Hemorrhagic Anemia

机译:急性出血性贫血患者心肌梗塞临床介绍和形态之间的不等调

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While atherosclerotic plaque disruption remains the hallmark of type 1 myocardial infarction (T1MI), multiple other mechanisms provoking myocardial supply/demand mismatch (eg, anemia and tachyarrhythmias) are recognized as the potential causes of type 2 myocardial infarction (T2MI). In clinical practice, angiography is underutilized in patients with MI that have typical T2MI triggers, although the presence of these triggers and various forms of atherosclerotic coronary artery disease is not mutually exclusive. We describe a 70-year-old man that developed MI during hospitalization for gastrointestinal bleeding. He was treated conservatively without angiography due to posthemorrhagic anemia, which is a recognized T2MI trigger, and subsequently developed refractory cardiogenic shock. Autopsy revealed atherothrombosis, which is characteristic of T1MI.
机译:虽然动脉粥样硬化斑块破坏仍然是1型心肌梗死(T1MI)的标志,但是挑起心肌供应/需求失配(例如,贫血和快腿间隙)的多种其他机制被认为是2型心肌梗死(T2MI)的潜在原因。在临床实践中,血管造影未充分利用典型T2MI触发的MI患者,尽管这些触发器的存在和各种形式的动脉粥样硬化冠状动脉疾病是不相互排斥的。我们描述了一名70岁的男子,在住院期间开发了MI的胃肠道出血。由于假血管性贫血,他被保守地治疗了血管造影,这是一个公认的T2MI触发,随后产生了耐火心绞痛。尸检显示出牙齿形成,其是T1MI的特征。

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