非ST段升高心肌梗塞与非阻塞性冠状动脉由于A型胸腺瘤:一个病例报告
Tsung-Fu Tsai1,2, Mei-Yun Chang1, Yen-Ting Yeh3
1Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City 220216, Taiwan.
Heliyon
|June 29, 2023
概括
不阻塞冠状动脉的心肌梗塞 (MINOCA) 越来越多地被认可. 一个与胸腺瘤相关的前中间骨质导致MINOCA患者的NSTEMI,突出了罕见的病因.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 胸部外科手术 胸部外科手术
背景情况:
- 心肌梗塞与非阻塞性冠状动脉 (MINOCA) 代表了急性心肌梗塞的重要亚组,最近的研究显示,其患病率为8.8%.
- MINOCA需要对非动脉样硬化的原因进行调查,因为标准冠状动脉血管学可能无法揭示阻塞性疾病.
研究的目的:
- 报告一种罕见的非ST段升高心肌梗塞 (NSTEMI) 病例,该病例发生在患有偶发前中间骨质质的患者身上.
- 讨论MINOCA的诊断挑战和潜在病因在前侧中质块的背景下.
- 强调在MINOCA患者中考虑胸外病因的重要性.
主要方法:
- 一份病例报告显示,一名80岁的妇女患有NSTEMI和呼吸短促.
- 诊断工作包括计算机断层扫描 (CT) 胸部血管图和新兴心脏导管.
- 通过CT指导的活检证实了前端中质的性质.
主要成果:
- 该患者出现了暗示NSTEMI的症状,并被发现有前中间骨质.
- 心脏导管检查显示没有阻塞性冠状动脉疾病,与MINOCA一致.
- 活检证实前中间骨质是A型胸腺瘤.
结论:
- 由于前腹中质形成的非阻塞性冠状动脉存在的心肌梗塞是一个罕见的现象.
- 这一案例强调了需要对MINOCA患者进行全面评估,以确定冠状动脉疾病以外的潜在潜在原因.
- 需要进一步的研究来建立标准化的诊断和管理协议,用于罕见的MINOCA病因,如胸腺瘤.
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