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Images in…: Survival of acute ST-elevation myocardial infarction with total occlusion of the left main coronary artery

机译:…中的图像:急性ST抬高型心肌梗死并完全阻塞左主冠状动脉的存活率

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摘要

This image demonstrates the survival of a patient with total acute occlusion of the left main stem, which was treated by primary percutaneous coronary intervention (PCI). Before the patient was referred to the emergency room, she had already suffered from chest pain for about 11 h. Remarkably, the patient survived the acute myocardial infarction despite extreme myocardial necrosis of >60% of the left ventricle as demonstrated by delayed enhancement MRI. The attached images show angiography before and after PCI, the impressive initial ECG and delayed enhanced MRI with mainly transmural contrast enhancement.
机译:该图像显示了左主干完全急性闭塞的患者的生存情况,该患者已通过原发性经皮冠状动脉介入治疗(PCI)进行了治疗。在将患者转诊至急诊室之前,她已经遭受了大约11小时的胸痛。值得注意的是,尽管延迟增强MRI证实,患者的急性心肌梗死存活率超过左心室的60%以上,但仍存活于急性心肌梗塞中。所附图像显示了PCI前后的血管造影,令人印象深刻的初始ECG和延迟的MRI(主要是经壁对比增强)。

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