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St-Segment Elevation Acute Myocardial Infarction in a Patient with Acromegaly: A Case Report and Literature Review

急性心肌梗塞與肢端肥大症-病例報告與文獻回顧

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摘要


肢端肥大症病人經常伴隨高盛行率的心血管疾病。其中包括高血壓,葡萄糖耐受性不良,心臟肌肉病變與冠狀動脈疾病。在此我們提出一病例報告。病人為一位高血壓患者其發生ST段上升急性心肌梗塞且接受成功的緊急心導管治療並放置支架。肢端肥大症的確切診斷乃住院中經由外表上特徵的觀察,血中賀爾蒙的檢查及核磁共振影像的發現。我們將討論急性心肌梗塞與肢端肥大症間的關係並回顧文獻的報告。

並列摘要


Acromegaly is a disorder caused by the excess production of pituitary growth hormone and is characterized by the enlargement of the hands, feet and head. Increased morbidity and mortality with acromegaly is associated with cardiovascular complications, hypertension, glucose intolerance, cardiomyopathy and coronary artery disease. We report a case of acromegaly, which presented with ST-segment elevation acute myocardial infarction. The patient received successful primary transluminal coronary angioplasty with stent implantation. Acromegaly was suspected from typical appearance, and confirmed with hormonal examination and imaging of the pituitary mass. We discuss this case in comparison with previous literature.

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