急性心肌梗塞（ＡＭＩ）的典型表现为胸前区压榨性疼痛或放散性疼痛，有时为持续性疼痛，常伴有恶心、呕吐、大汗淋漓、呼吸困难、虚弱、眩晕、皮肤苍白或发灰。疼痛且伴大汗淋漓可能是区别心肌梗塞与心绞痛的特征性表现。 作者报道１例不典型ＡＭＩ患者发病及诊治过程。患者为 Typical manifestations of acute myocardial infarction (AMI) are chest pain or diffuse pain, sometimes persistent pain, often accompanied by nausea, vomiting, sweating, dyspnea, weakness, dizziness, pale skin or gray hair . Pain and sweating may be characteristic of myocardial infarction and angina pectoris. The authors report a case of atypical AMI patients and diagnosis and treatment process. Patient is