德国一位72岁的老妇人尚未咽气,就被送入morgue(太平间;停尸房),令人惊骇不已！文中的一句话委婉地道出了此人间悲剧的背景:The colorof her skin led the doctor to declare her dead and send her to the morgue。呜呼！当现代医学认...德国一位72岁的老妇人尚未咽气,就被送入morgue(太平间;停尸房),令人惊骇不已！文中的一句话委婉地道出了此人间悲剧的背景:The colorof her skin led the doctor to declare her dead and send her to the morgue。呜呼！当现代医学认为,心脏的暂时停止跳动尚不能断定人的正式死亡时,竟然有人以人的肤色来断定人之死活！】展开更多
Diagnosis of spontaneous coronary artery dissection （SCAD） is challenging because of its rarity and uncertain etiology. It frequently occurs in young women during pregnancy and in the postpartum period, and rarely f...Diagnosis of spontaneous coronary artery dissection （SCAD） is challenging because of its rarity and uncertain etiology. It frequently occurs in young women during pregnancy and in the postpartum period, and rarely found in elder women with no history of cardiovascular disease or coronary risk factors. In this article we report a case of SCAD in a 75-year-old woman without traditional cardiovascular risk factors who presented with syncope and mild chest discomfort. There were no abnormal electrocardiographic changes and no elevated cardiac enzymes were detected. Computed tomography of brain revealed nothing abnormal. Coronary artery disease was suspected. Coronary angiogram revealed dissection in the middle left circumflex artery. The patient underwent percutaneous transluminal coronary angioplasty and was free of symptoms at 6-month follow-up. Our report suggests that emergency coronary angiography is indicated if syncope caused by coronary artery disease is suspected.展开更多
文摘德国一位72岁的老妇人尚未咽气,就被送入morgue(太平间;停尸房),令人惊骇不已！文中的一句话委婉地道出了此人间悲剧的背景:The colorof her skin led the doctor to declare her dead and send her to the morgue。呜呼！当现代医学认为,心脏的暂时停止跳动尚不能断定人的正式死亡时,竟然有人以人的肤色来断定人之死活！】
文摘Diagnosis of spontaneous coronary artery dissection （SCAD） is challenging because of its rarity and uncertain etiology. It frequently occurs in young women during pregnancy and in the postpartum period, and rarely found in elder women with no history of cardiovascular disease or coronary risk factors. In this article we report a case of SCAD in a 75-year-old woman without traditional cardiovascular risk factors who presented with syncope and mild chest discomfort. There were no abnormal electrocardiographic changes and no elevated cardiac enzymes were detected. Computed tomography of brain revealed nothing abnormal. Coronary artery disease was suspected. Coronary angiogram revealed dissection in the middle left circumflex artery. The patient underwent percutaneous transluminal coronary angioplasty and was free of symptoms at 6-month follow-up. Our report suggests that emergency coronary angiography is indicated if syncope caused by coronary artery disease is suspected.
