剧烈的上胃疼痛揭示了双心室性心肌梗塞:一个病例报告
Thierno Hamidou Diallo1, Raynatou Djafarou Boubacar1, Frederick Nana Yeboah1
1Department of Cardiology A, Ibn Sina University Hospital Center, Rabat, Morocco.
SAGE open medical case reports
|September 3, 2024
概括
在非典型症状的糖尿病患者中,急性冠状动脉综合征 (ACS) 的延迟诊断可能会使结果恶化. 这一案例突出显示了糖尿病患者出现表胃疼痛的双心脏梗塞,强调了迅速评估的必要性.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 医疗病例报告 病例报告
背景情况:
- 急性冠状动脉综合征 (ACS) 是导致死亡的主要原因,需要及时治疗.
- 早期再输血治疗对于改善ACS患者预后至关重要.
- 糖尿病患者经常出现非典型的症状,使早期诊断和管理复杂化.
研究的目的:
- 为了呈现一种延迟诊断双心脏梗塞的病例.
- 为突出诊断非典型症状的ACS所面临的挑战.
主要方法:
- 案例报告的呈现方式.
- 对临床表现和诊断途径的审查.
主要成果:
- 一名54岁的男性患有2型糖尿病和吸烟,出现了腹上疼痛.
- 最初的治疗是有症状的,导致最终诊断延迟8小时.
- 患者被诊断出患有双心脏梗塞.
结论:
- 由于非典型的症状,ACS的延迟诊断可能会发生,影响治疗的开始.
- 两性心脏病发作,通常与下层缺血有关,需要及时识别.
- 即使有非经典症状,也需要对ACS保持警,特别是在高风险患者中.
相关概念视频
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
100
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
100
Imaging Studies for Cardiovascular System I:Echocardiography
303
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
303
Gastritis III: Clinical Manifestations and Management
188
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
188
Acute Pancreatitis II: Clinical Manifestations and Management
111
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
111
Appendicitis-I: Introduction
99
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
99
Gastroesophageal Reflux Disease II: Clinical Features and Management
62
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
62


