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患者男性,47岁,游泳时突感胸闷气促,胸骨后缩窄样疼痛。40分钟后送我院急诊,当时除心电图STV_5稍压低外,其余检查均未发现异常。由于症状未缓解,考虑急性心肌梗塞转入急诊监护病房治疗。入院后第12小时复查心电图示Ⅱ、Ⅲ、aVF、V_4～V_9等导联ST段呈上斜性压低,心肌酶:GOT106u,LDH373u,CPK138u;第24小时心电图Ⅱ、Ⅲ、aVF导联出现异常Q波,T波倒置,诊断急性下壁心肌梗塞,按急性心肌梗塞常规治疗10天,多次复查心电图均为下壁心肌梗塞。后病情稳定,心肌酶进行性下降,转心内科病房继续治疗。当日复查心电图,发现V_2～V_4T波高耸对称,遂
Male patient, 47 years old, suddenly feeling chest tightness and shortness of breath when swimming, narrow sternum pain. 40 minutes later sent to our hospital emergency department, at that time except STV_5 slightly lower ECG, the other tests were not found abnormalities. As the symptoms did not alleviate, consider acute myocardial infarction into emergency care ward treatment. On the 12th hour after admission, electrocardiogram (ECG) showed that the ST segment of Ⅱ, Ⅲ, aVF, V_4 ~ V_9 and other leads showed an upward oblique depression, and the myocardial enzymes GOT106u, LDH373u and CPK138u showed abnormal ECG in the 24th hour electrocardiogram Ⅱ, Ⅲ and aVF Q wave, T wave inversion, the diagnosis of acute inferior myocardial infarction, according to the conventional treatment of acute myocardial infarction for 10 days, repeated ECG were inferior myocardial infarction. After a stable condition, progressive decline in myocardial enzymes, heart disease ward continued treatment. The day of review ECG, found V_2 ~ V_4T wave towering symmetry, then