染细胞瘤和甲状腺风暴呈现为ST升高心肌梗塞在患有非阻塞性冠状动脉的患者中
Mustafa Shehzad1, Dawood Shehzad2, Muhammad Ahmad3
1Internal Medicine, Hackensack University Medical Center, Hackensack, USA.
European journal of case reports in internal medicine
|October 7, 2024
概括
叶红细胞瘤是一种罕见的非阻塞性冠状动脉 (MINOCA) 心肌梗塞的罕见原因,需要及早考虑. 快速诊断染细胞瘤对于改善MINOCA患者血压不稳定的结果至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 心脏病学 心脏病学
- 在瘤学瘤学.
背景情况:
- 染细胞瘤呈现出各种症状,往往具有挑战性的诊断.
- 来自染细胞瘤的甲基荷兰胺可以直接影响心肌功能并导致损伤.
- 心肌梗塞与非阻塞性冠状动脉 (MINOCA) 是一个越来越公认的临床实体.
研究的目的:
- 要强调考虑MINOCA的患者体红细胞瘤的关键重要性.
- 强调染细胞瘤和MINOCA之间的关联,特别是在血压波动不可预测的情况下.
- 倡导在MINOCA的差异诊断中纳入染细胞瘤.
主要方法:
- 一个41岁的女性患有MINOCA和未被诊断的染细胞瘤的病例报告.
- 对临床表现,诊断发现和患者结果的审查.
- 关于染细胞瘤和MINOCA关联的文献分析.
主要成果:
- 患者出现了急性冠状动脉综合征和MINOCA,严重高血压和随后的心脏骤停使其复杂化.
- 染细胞瘤的诊断得到证实,并确定了同时存在的甲状腺风暴.
- 该案例说明了MINOCA患者未被诊断的染细胞瘤的罕见但致命的并发症.
结论:
- 在MINOCA的差异诊断中,应考虑叶红细胞瘤,特别是在血压不稳定的情况下.
- 目前关于MINOCA工作的指导方针不包括染细胞瘤,因此需要更新.
- 早期识别和诊断染细胞瘤可以改善结果,并可能预防致命事件.
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