冠状动脉造影正常的青年急性心肌梗死2例分析

Two cases for acute myocardial infarction with normal coronary angiography in youth

随着急性心肌梗死（AMI）发病率的不断增加,其发病年龄也日趋年轻化,本文对2例青年人AMI进行分析如下。1病历资料例1,男,28岁。因间断胸闷发作11d入院。患者于入院前11d清晨饮酒后突发胸闷,伴呕吐1次,为胃内容物,无大汗、胸痛,持续8h未缓解而就诊于外院。既往身体健康,吸烟10余年,10余支/d,偶饮少量白酒,有冠心病家族史。

Case one suffered intermittent chest distress attack 11 days and went to hospital.His ECG showed sinus rhythm,V1-V6 ST rising 0.3-0.6 mV,T upward position.CK-MB,TnI and Myo increased.He was diagnosed of acute anterior wall myocardial infarction with negative coronary artery angiography.Case two suffered chest pain for five hours.His ECG showed V3-V6 T flatness.CK-MB,TnI and Myo increased.He was diagnosed of acute non st-elevation myocardial infarction.CAG showed:near the middle of the LAD,LCX and with near the middle of proximal RCA are dilated.LAD has a myocardial bridge,and with the near the middle of RCA has a lot of plaque but without stenosis or obstruction.