Pseudomyocardial infarction
- 최초 등록일
- 2013.06.21
- 최종 저작일
- 2013.05
- 17페이지/
MS 파워포인트
- 가격 1,000원
목차
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본문내용
CASE
A 46-year-old obese man
C/C)
weakness and marked diaphoresis for 2 hours
intermittent chest and epigastric pain and poor appetite for 2 days
P/Hx) diseases(-),trauma(-)
Initial Mx) O2 supplement, aspirin, fluid
CASE: Pseudomyocardial Infarction
P/Ex)
hypotensive (68/39 mm Hg)
chest and heart: CBS& NHB w/o murmurs, no jugular vein distension.
Abdomen: hypoactive BS, diffused RTd(+), muscle guarding
CXR) NAL
EKG) ST elevation in lead II, III, aVF ;acute inferior MI and no ST elevation in lead V6
<중 략>
Postulated Mechanisms PMI
In patients with sepsis…
3) Transient ST elevation related to transient coronary vasoconstriction may be induced by the dopamine infusion that remedying septic shock.
Therefore, Acute abdomen can cause severe pain and result in ECG change compatible with acute MI .
Conclusion
1. Possibility of Abnoraml EKG
in many noncardiac diseases, including acute abdomen(ex. perforated appendicitis complicated with peritonitis and septic shock)
2. P/Ex and early EKG
May be helpful to differentiate pseudomyocardial infarction and prompt a search for true etiologies.
참고 자료
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