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A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical...
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Transcript of A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical...
A 21-year-old patient with acute myardical infarction
Beijing Anzhen Hospital Capital Medical University Beijing Anzhen Hospital Capital Medical University
Cui song Zhu Xiao-ling
male, 21y,chest pain of four hour onset The electrocardiogram : ST-segment elevation in the
leads I 、 avL and V1-V6 The cardiac enzyme levels CK1793U/L,CK-MB212ng/ml,cTnI30.29ng/ml
General information
Echocardiography : anterior-lateral hypokinesia blood pressure : 120/85 mmHg, HR:78 beats/min Heart sounds were normal without a gallop sound or
significant murmur. no cardiac risk factors for coronary artery disease consistent with acute anterior-lateral myocardial infarction
appropriate treatment was instituted including low-dose aspirin 300mg,100mg,qd
loading-dose clopidogrel 300mg,75mg,qd 5%GS100ml+Diltiazem 20 mg, ivgtt,st metoprolol,12.5mg.bid, 5%GS100ml+Isosorbide Dinitrate 30mg,ivgtt Clexane 60mg,ih,q12h Enalapril,2.5mg , qd Simvastatin, 10mg , qn Tirofiban,7ml/h,24h,ivgtt
Admission ECG
2 hours after of admission
Urgent diagnostic coronary angiography
Urgent diagnostic coronary angiography
17 days diagnostic coronary angiography
17 days ECG
Question
Do all yang patients with acute mycardical infarction need PCI ?
Statins have been applied?The pathogenesis of this case?