大冠状动脉摄像头囊到左心室呈现为充血性心力衰竭
Yashitha Chirumamilla1, Ajit Brar1, Farouk Belal1
1Department of Internal Medicine, Hurley Medical Center, Flint, USA.
European journal of case reports in internal medicine
|March 8, 2024
概括
一名患有胸痛和心力衰竭症状的患者被诊断出一种罕见的冠状动脉腔 (CCF). 这一发现凸显了CCF作为非缺血性心肌病的可治疗原因.
科学领域:
- 心脏病学 心脏病学
- 心血管医学 心血管医学
- 医疗成像医学成像
背景情况:
- 一名56岁的女性出现间歇性胸痛,最初评估为冠状动脉疾病.
- 心声图显示出严重减少的喷射分数 (20-25%) 和全球左心室低运动.
- 电心电图显示缺血变化和心脏热素升高,促使紧急的心脏导管.
研究的目的:
- 报告一种模仿缺血性心肌病的冠状动脉腔 (CCF) 病例.
- 强调在心力衰竭的差异诊断中考虑罕见的冠状动脉异常的重要性.
- 突出CCF作为非缺血性心肌病的可治疗原因.
主要方法:
- 患者的临床表现和诊断工作胸痛和减少喷射分数的患者.
- 心脏导管和血管造影以可视化冠状动脉解剖.
- 冠状动脉室内的诊断和非缺血性心肌病.
主要成果:
- 心脏导管检查显示出一个大冠状动脉摄像头 (CCF),起源于隔膜分支,延伸到左心室.
- 该患者被诊断为非缺血性心肌病症和心力衰竭,心脏衰竭的减少是由于CCF的次要排气分数.
- 这个案例说明了一个患有有关症状和初步发现的患者的缺血性心肌病症的替代诊断.
结论:
- 冠状动脉腔是一种罕见的异常,可以出现模仿缺血性心脏病的症状.
- 提高CCF的认识和报告可以帮助临床医生怀疑这种情况是心力衰竭的原因.
- CCF代表非缺血性心肌病的可治疗病因,强调需要全面的诊断评估.
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