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1临床资料患者,男,58岁,以“突发胸闷伴后背疼痛10h”为主诉于2013年10月8日入院。患者既往体健,有吸烟史。入院检查:血压102/65mm Hg(1mm Hg=0.133kPa)。心电图示窦性心律,心率85次/min,Ⅰ、aVL、V2~V5导联ST段弓背样抬高0.1~0.4mV。心肌酶谱示肌酸激酶同工酶38u/L,肌钙蛋白I 0.18μg/L。B型脑钠肽(B-type natriuretic peptide,BNP)180ng/L。初步诊断为冠心病、急性广泛前壁心肌梗死、Killip分级[1]Ⅰ级。急诊行冠状动脉造影示左主干、回旋支、右冠状动脉未见明显狭窄,左前降支中段
A clinical data of patients, male, 58 years old, with “sudden chest pain with back pain 10h ” as the chief complaint on October 8, 2013 admission. Past patient health, smoking history. Admission examination: Blood pressure 102/65 mm Hg (1 mm Hg = 0.133 kPa). ECG showed sinus rhythm, heart rate 85 beats / min, Ⅰ, aVL, V2 ~ V5 lead ST segment arch elevation of 0.1 ~ 0.4mV. Myocardial enzymes showed creatine kinase isoenzyme 38u / L, troponin I 0.18μg / L. B-type natriuretic peptide (BNP) 180ng / L. Initial diagnosis of coronary heart disease, acute extensive anterior myocardial infarction, Killip grade [1] Ⅰ grade. Emergency line coronary angiography showed the left main, supination, right coronary artery no obvious stenosis, middle left anterior descending artery