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Reperfusion Associated Cardioversion of Atrial Fibrillation in Acute Myocardial Infarction

机译:急性心肌梗死再灌注相关性心房纤颤

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摘要

A 62‐year‐old woman was admitted to the hospital with 2 hours of severe chest pain, diaphoresis, and palpitations. The admission ECG revealed tachycardic atrial fibrillation (Afib) and significant ST‐segment elevation of the inferior leads and reciprocal ST depression in the anterior leads. Emergent coronary angioplasty displayed total thrombotic occlusion of the proximal right coronary artery. Consecutively, the RCA was successfully revascularized (thrombolysis in myocardial infarction flow grade III) by direct percutaneous coronary intervention (PCI).
机译:一名62岁的妇女因2小时的剧烈胸痛,发汗和心入院。入院心电图显示心动过速心房颤动(Afib),下导联ST段明显升高,前导联ST压低。紧急冠状动脉成形术显示右冠状动脉近端全血栓闭塞。连续地,通过直接经皮冠状动脉介入治疗(PCI)成功地对RCA进行了血运重建(III级心肌梗死溶栓)。

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