Clinically, pulmonary embolism （PE） mostly comes from the lower extremity deep vein system, but if such pa- tients have no evidence of deep venous thrombosis （DVT）, other sources of emboli should be considered. It...Clinically, pulmonary embolism （PE） mostly comes from the lower extremity deep vein system, but if such pa- tients have no evidence of deep venous thrombosis （DVT）, other sources of emboli should be considered. It is very rare that embolus comes from the right heart system （in situ thrombosis）, Isolated fight ventricular noncompaction （iRVNC） can cause PE, but it has not been reported so far. Ventricular noncompaction （VNC） is an unusual cause of cardiomyopathy.展开更多
A 61-year-old woman was hospitalized for a chief complaint of sudden chest tightness with sweating for two hours. The chest tightness and sweating occurred suddenly and without remission after a morning stool. Electro...A 61-year-old woman was hospitalized for a chief complaint of sudden chest tightness with sweating for two hours. The chest tightness and sweating occurred suddenly and without remission after a morning stool. Electrocardiography showed a complete atrioventricular （AV） block and arc-like elevation of the ST-segment in leads Ⅱ, Ⅲ, AVF, V7-V9, and V3R-V5R, at about 0.05-0. 15 mV. After being administered 1 mg of atropine in the emergency room （ER）, the patient was admitted to the cardiology department. The patient had been found in a cyanotic state two years previously, but did not receive any treatment; she was diagnosed with a transient ischemic attack （TIA） 1.5 years previously because of limb dyskinesia accompanied by slurred speech.展开更多
文摘Clinically, pulmonary embolism （PE） mostly comes from the lower extremity deep vein system, but if such pa- tients have no evidence of deep venous thrombosis （DVT）, other sources of emboli should be considered. It is very rare that embolus comes from the right heart system （in situ thrombosis）, Isolated fight ventricular noncompaction （iRVNC） can cause PE, but it has not been reported so far. Ventricular noncompaction （VNC） is an unusual cause of cardiomyopathy.
文摘A 61-year-old woman was hospitalized for a chief complaint of sudden chest tightness with sweating for two hours. The chest tightness and sweating occurred suddenly and without remission after a morning stool. Electrocardiography showed a complete atrioventricular （AV） block and arc-like elevation of the ST-segment in leads Ⅱ, Ⅲ, AVF, V7-V9, and V3R-V5R, at about 0.05-0. 15 mV. After being administered 1 mg of atropine in the emergency room （ER）, the patient was admitted to the cardiology department. The patient had been found in a cyanotic state two years previously, but did not receive any treatment; she was diagnosed with a transient ischemic attack （TIA） 1.5 years previously because of limb dyskinesia accompanied by slurred speech.
