摘要
1病例资料
患者,女,70岁。2013年5月6日其老伴去世时,饱受刺激,过度抱扶老伴后不小心扭伤腰部,于5月9日到我院就诊,胸腰椎平片示：第1腰椎压缩性骨折,收入我院外科住院治疗。于入院前两天稍感胸闷气促,未在意。既往有“高血压病1级极高危组”10余年，及“慢性胃炎”15年。
The patients because of mental stimulation,sudden chest pain and shortness of breath,aggravated gradually.Chest pain was substernal pain.Continued for a few minutes to several hours.Physical examination had no positive signs.Admission electrocardiogram showed：sinus rhythm,T V3-V6 inversion.ECG was obviously abnormal：sinus bradycardia and irregular.Heartbeat,I AVB,with atrial premature beat,borderline verapamil,left anterior hemiblock,Ⅰ,Ⅱ,AVL,V2-V6 lead T wave inversion,（V3-V6 Twave inversion significantly enhanced）,prolongation of the Q-Tc interval.CTnI was normal afte 12 hours.Cardiac ultrasound showed：dilated aorta,left atrial enlargement,ventricular septalslightly thick,decrease of left ventricular diastolic function,EF66%.Coronary angiography showed：coronary artery was no obvious abnormality.Left ventricular angiography showed：the left ventricular base was narrow and expansion.Diagnosis According to the clinical manifestations and examination results,the patients should be considered for stress cardiomyopathy.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2014年第10期923-924,共2页
Journal of Clinical Cardiology
