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(病例见本刊2014年第9期彩页)应做检查包括:心血管三维重建、心血管造影。患者检查结果如下:心血管CT三维重建提示心影丰满,左侧冠状动脉前降支远端肌桥形成,左旋支远端肌桥形成不除外。最后诊断:冠状动脉病变(心肌桥);急性左心功能衰竭;心源性休克。诊断依据:(1)发作性心肌缺血相关症状;(2)发作时心电图改变;(3)发作后一般情况可;(4)心血管CT三维重
(See the case of cases 2014 No. 9 color pages) should be checked include: three-dimensional reconstruction of cardiovascular, cardiovascular angiography. Patient examination results are as follows: three-dimensional reconstruction of cardiovascular CT prompted the fullness of the left anterior descending coronary artery bridge formation, left ventricular distal muscle bridge formation is not excluded. The final diagnosis: coronary artery disease (myocardial bridge); acute left heart failure; cardiogenic shock. Diagnosis is based on: (1) symptoms associated with episodic myocardial ischemia; (2) electrocardiographic changes during the episode; (3) general conditions after the episode may be; (4)