ExtremeST-segmentelevationsinseeminglynosignificantangiographiccoronaryarteryabnormalities:acasereportBMC?CardiovascDisordCasereportDec01,:19(1),./s---x本文由“天纳”临床学术信息人工智能系统自动翻译BackgroundObstructivecoronaryarterydiseaseisfoundinapproximately97%ofpatientspresentingwithST-elevationmyocardialinfarctionand92%ofpatientswithnonST-elevationmyocardialinfarction(BaineyKR,WelshRC,AlemayehuW,WesterhoutCM,TraboulsiD,AndersonT,etal.IntJCardiol:12–17,).Recentstudiesshowedthatmyocardialinfarctionwithoutobstructivecoronaryatherosclerosis(MINOCA)isalsoassociatedwithalong-termriskofadverseevents(BaineyKR,WelshRC,AlemayehuW,WesterhoutCM,TraboulsiD,AndersonT,etal.IntJCardiol:12–17,)..ThefollowingcaseillustratesthatMINOCAmayalsobeassociatedwithshorttermadverseevents(dependingontheunderlyingmechanism).梗阻性冠状动脉疾病见于约97%的ST段抬高心肌梗死患者和92%的非ST段抬高心肌梗死患者（BaineyKR、WelshRC、AlemayehuW、WesterhoutCM、TraboulsiD、AndersonT等。《国际心脏杂志》:年12月17日）。最近的研究表明，无阻塞性冠状动脉粥样硬化（minoca）的心肌梗死也与不良事件的长期风险相关（BaineyKR、WelshRC、AlemayehuW、WesterhoutCM、TraboulsiD、AndersonT等。《国际心脏杂志》:年12月17日）。以下情况说明minoca也可能与短期不良事件相关（取决于潜在机制）。CasepresentationA49-yearoldCaucasianmalewithnosignificantmedicalhistorywasreferredtoourcardiacemergencydepartmentwithacutechestpain.TheambulanceECGshowedextremeST-segmentelevationanterolateral(‘tombstonesign’),whichhadresolved
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