打:神经刺激或伪装成急性冠状动脉综合征
Dessiree Cordero1, Patrik Schmidt2, Franklin Sosa2
1Internal Medicine, BronxCare Hospital Center, Icahn School of Medicine at Mt. Sinai, New York, USA.
Cureus
|December 4, 2023
概括
打可能是急性冠状动脉综合征 (ACS) 的不寻常症状. 认识到这种联系有助于及时诊断和治疗心脏病.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 急性冠状动脉综合征 (ACS) 通常表现为胸部疼痛,但可以出现像打这样的非典型症状.
- 打的病理生理学涉及迷走神经和神经,导致隔膜收缩.
研究的目的:
- 突出作为急性冠状动脉综合征 (ACS) 的潜在症状.
- 讨论潜在的神经机制,将打与心肌梗塞 (MI) 联系起来.
主要方法:
- 病例报告分析,重点关注患有打作为唯一或主要症状的患者.
- 对参与ACS诱导的打的神经通路的现有假设的审查.
主要成果:
- 在一些ACS病例中,是唯一呈现症状.
- 在下腔和右腔室心肌梗塞中出现了打,这表明神经突触的潜在参与.
结论:
- 打可能是急性冠状动脉综合征 (ACS) 的非典型但重要的指标.
- 在ACS患者中早期识别打可以加快诊断并改善患者的治疗结果.
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