对以牙痛为首发症状的急性心肌梗死1例分析如下。1病历摘要男,39岁。主因3 d前无明显诱因出现间歇性牙痛,每次持续10~20 min,自行缓解。当日下午活动中再次发作,口服安乃近无效,故来我院口腔科就诊。经检查无异常情况, One case of acute myocardial infarction with toothache as the first symptom is as follows. 1 medical record summary male, 39 years old. The main reason for 3 d before there is no obvious incentive for intermittent toothache, each lasting 10 to 20 minutes, relieve itself. On the afternoon of the afternoon activities in the attack again, oral safety is near invalid, so I came to our hospital stomatology. After inspection no abnormalities,