昏迷是多血管冠状动脉疾病的唯一表现
Mostafa R Mostafa1, Mostafa Najim1, Alexander Kusnik1
1Department of Medicine, Rochester Regional Health/Unity Hospital, Rochester, NY, USA.
炼性昏迷,或运动期间昏,可能是晚期冠状动脉疾病 (CAD) 的信号. 这种病例突出了严重的CAD,仅仅表现为昏,即使没有典型的胸痛.
科学领域:
- 心脏病学 心脏病学
- 临床病例报告 临床病例报告
- 诊断方面的挑战
背景情况:
- 昏迷诊断可能是复杂的.
- 冠状动脉疾病 (CAD) 是一种常见的疾病.
- 强迫性昏迷是一种令人担忧的症状.
研究的目的:
- 报告一个不寻常的昏迷病例.
- 要突出高级的CAD呈现没有典型的缺血症状.
- 强调考虑心脏原因导致的重要性.
主要方法:
- 病例介绍: 一个患有运动性昏迷的患者.
- 心声图用于评估左心室功能.
- 冠状动脉血管学评估CAD.
主要成果:
- 患者仅表现为运动性昏迷.
- 被诊断为严重的多血管CAD和RCA的CTO.
- 发现了轻度减少的左心室缩功能障碍.
结论:
- 综合症可能是高级CAD的唯一表现.
- 严重的CAD,包括CTO,可能没有出现经典性心痛.
- 心声图和血管图对于诊断至关重要.
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