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1病例资料患者,女,54岁。因“间断胸闷1周,加重伴胸痛1d”入院。患者1周前因胸闷不适在当地医院就诊,心电图检查未见明显异常(图1a)。1d前患者突发心前区疼痛不适,疼痛可向肩背部放射,持续不缓解,无黑曚、晕厥、腹痛、呼吸困难等。到当地医院行心电图检查提示V1~V5导联呈rS形(图1b),考虑急性前壁心肌梗死,送入我院进一步诊治。既往史:有高血压病史10年(最高血压达190/
1 case information patients, female, 54 years old. Because of “intermittent chest tightness for 1 week, increased with chest pain 1d ” admission. Patient 1 week ago due to chest tightness at the local hospital for treatment, ECG showed no significant abnormalities (Figure 1a). 1d patients with sudden anterior precordial pain discomfort, pain can be radiated to the shoulder and back, sustained no relief, no blackfly, fainting, abdominal pain, breathing difficulties. To the local hospital ECG examination prompted V1 ~ V5 lead was rS-shaped (Figure 1b), consider acute anterior myocardial infarction, into our hospital for further diagnosis and treatment. Past history: a history of hypertension for 10 years (the maximum blood pressure of 190 /