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1病例资料患者,男,48岁。1年前因急性心肌梗死于当地医院就诊,行冠状动脉(冠脉)造影检查,术中提示回旋支近段临界病变,未行介入治疗,术中使用普通肝素抗凝,住院期间曾使用低分子肝素,院外坚持服用拜阿司匹林、氯吡格雷、瑞舒伐他汀、β-受体阻滞剂,9个月后停服氯吡格雷,期间病情保持相对平稳,随访血常规及血生化检查无明显异常。1个月前患者再次突发心前区疼痛,相关检查提示急性下壁ST段抬高心肌梗死,因当地医院不具备
1 case information patients, male, 48 years old. A year ago because of acute myocardial infarction in a local hospital for coronary artery (coronary) imaging, intracranial surgery prompted the proximal critical lesions, no interventional therapy, intraoperative use of unfractionated heparin anticoagulation, hospitalized during the use of low Molecular heparin, hospital adhere to take aspirin, clopidogrel, rosuvastatin, β-blockers, clopidogrel was stopped after 9 months, the condition remained relatively stable, follow-up blood and blood biochemical tests without Obvious abnormalities. 1 month ago, patients once again broke heart area pain, the relevant examination prompted acute inferior wall ST-segment elevation myocardial infarction, because the local hospital does not have