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首页> 外文期刊>Circulation journal >A Case of Massive Pulmonary Embolism With ST Elevation in Leads
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A Case of Massive Pulmonary Embolism With ST Elevation in Leads

机译：铅中ST段抬高的大规模肺栓塞一例

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A 35-year-old man was referred to the emergency department after having a short syncopal episode while waiting for a Doppler scan of the lower extremities for a 4-week history of a painful right leg. He had no significant past medical history and was a non-smoker. On presentation he had severe chest pain and dyspnea associated with diaphoresis, and was hemodynamically unstable. His initial electrocardiogram (ECG) showed ST segment elevations in leads V_(1-4), mimicking an anteroseptal myocardial infarction. However, the angiography showed the coronary arteries were normal and the right main pulmonary artery was partially occluded by large pulmonary emboli. The ECG changes were recorded in detail which also pointed to the diagnosis of pulmonary embolism (PE). This case shows how a PE can mimic an anteroseptal myocardial infarction on ECG, and the physiopathol-ogy of the ST elevation in PE was discussed.
机译：一名短暂的晕厥发作后，一名35岁的男子被转诊至急诊科，当时他等待下肢的多普勒扫描，发现右腿疼痛已有4周。他没有重要的既往病史，并且是不吸烟者。就诊时，他有严重的胸痛和呼吸困难与发汗相关，并且血液动力学不稳定。他的初始心电图（ECG）显示导线V_（1-4）中ST段抬高，模仿了前房间隔心肌梗塞。但是，血管造影显示冠状动脉正常，右主肺动脉被大的肺栓塞部分阻塞。详细记录了ECG的变化，这也提示了肺栓塞（PE）的诊断。该病例说明了PE如何模拟心电图上的前房间隔心肌梗塞，并讨论了PE中ST抬高的生理病理。

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