- 期刊
T Wave Inversion with QT Interval Prolongation in Multiple ECG Leads Associated with Acute Pulmonary Embolism: A Case Report
與肺栓塞有關的心電圖多導程T波倒置及QT問期延長一病例報告
摘要
雖然急性冠心症的心電圖胸前導程常出現T波倒置，但是這種心電圖變化也可見於其他原因如急性肺栓塞。我們報告一位74歲女性病例，因為胸痛以及在心電圖多個導程出現T波倒置及QT間期延長的異常變化，被診斷為不穩定心絞痛。但血管攝影顯示無冠狀動脈狹窄情形，而在肺灌注攝影檢查後診斷為急性肺栓塞，經抗凝劑治療後心電圖完全恢復正常。
並列摘要
T wave inversion in precordial leads of electrocardiogram (ECG) are often seen in patients with acute coronary syndrome (ACS), but may be due to other etiology such as acute pulmonary embolism (PE). We report on a 74 year-old woman admitted with a diagnosis of unstable angina because of chest pain and ECG changes of T wave inversion and QT interval prolongation in multiple leads. Coronary angiography showed no evidence of coronary artery stenosis. Acute PE was diagnosed after perfusion lung scintigraphy was done. Within one month following anticoagulant therapy, the ECG revealed complete resolution of the T wave inversion and QT prolongation.
延伸閱讀
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