呼吸过度诱导的冠状动脉在一个喘患者的ST段升高和心内血瘤
Milan Gajic1, Ivan Stankovic2, Predrag Milicevic1
1Department of Cardiology, Clinical Hospital Centre Zemun, Belgrade, Serbia.
JACC. Case reports
|January 24, 2026
概括
冠状动脉可以导致心脏损伤,而没有动脉堵塞. 这一案例显示,高通风测试有效诊断了血管,导致心内血瘤,喘和结核是潜在的因素.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
背景情况:
- 冠状动脉可以在没有阻塞性冠状动脉疾病的情况下引起心肌损伤.
- 多模式成像和挑测试有助于诊断.
研究的目的:
- 报告一个独特的病例,同时出现冠状动脉,心内血瘤和活跃结核病.
- 为了突出高通风测试的诊断效用.
主要方法:
- 一个64岁的男子患有喘恶化和过渡性ST段升高的病例介绍.
- 使用冠状动脉血管学,心声学,心脏磁共振成像和光学连贯性断层扫描.
- 进行了侵入性和非侵入性高通风挑测试.
主要成果:
- 冠状动脉血管学揭示了非阻塞性疾病.
- 心声图和心脏MRI显示了心内肌肉内血瘤.
- 高通风测试证实了冠状动脉血管.
- 光学连贯性断层扫描显示了治愈的斑块;诊断出肺结核.
结论:
- 这是首次报告出现并发冠状动脉,心内血瘤和活跃结核病的病例.
- 内心肌内血瘤可能是由喘相关的高通风引起的复发性血管引起的.
- 高通风测试是诊断冠状动脉血管的可贵替代品.
相关概念视频
Hyperpnea and Hyperventilation
2.6K
Hyperventilation refers to a higher-than-normal rate and depth of breathing, often associated with anxiety attacks. This excessive breathing surpasses the body's need to expel CO2, leading to a condition known as hypocapnia - an unusually low level of carbon dioxide in the blood. Hypocapnia can constrict cerebral blood vessels, reducing blood flow to the brain, which may result in dizziness or fainting. Early signs include tingling and muscle spasms in the hands and face, caused by falling...
2.6K
Freezing Point Depression and Boiling Point Elevation
39.7K
Boiling Point Elevation
The boiling point of a liquid is the temperature at which its vapor pressure is equal to ambient atmospheric pressure. Since the vapor pressure of a solution is lowered due to the presence of nonvolatile solutes, it stands to reason that the solution’s boiling point will subsequently be increased. Vapor pressure increases with temperature, and so a solution will require a higher temperature than will pure solvent to achieve any given vapor pressure, including one...
The boiling point of a liquid is the temperature at which its vapor pressure is equal to ambient atmospheric pressure. Since the vapor pressure of a solution is lowered due to the presence of nonvolatile solutes, it stands to reason that the solution’s boiling point will subsequently be increased. Vapor pressure increases with temperature, and so a solution will require a higher temperature than will pure solvent to achieve any given vapor pressure, including one...
39.7K
Elevation of Intermediate Points on Vertical Curves
282
Vertical curves are essential in roadway design because they provide smooth transitions between varying roadway grades. Designing vertical curves involves calculating intermediate elevations and identifying the curve's highest or lowest point, which is essential for optimal roadway performance.Intermediate elevations on a vertical curve are determined using the tangent offset method. This method considers the initial elevation at the start of the curve, the grades, and the curve's geometry. The...
282
Coronary Circulation
6.9K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
6.9K
Coronary Artery Disease I: Introduction
934
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
934
Coronary Artery Disease II: Pathophysiology
400
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
400


