Postoperative Myocardial Infarction in a Patient with Perioperative ST-Depression-A Case Report

術中ST下降併發術後急性心肌梗塞－病例報告

10.6955/AAS.199912.0211

滿恬恬(Tien-Tien Man)；林必盛(Bih-Chern Lin)；饒瑞泓(Ruey-Horng Rau)；陳應麟(Ying-Lun Chan)；吳國驊(Kuo-Hwa Wu)；蔡佩珊(Pei-Shan Tsai)；鄭清榮(Ching-Rong Cheng)

心肌缺血 ； 術後併發症：心肌梗塞 ； Myocardial ischemia ； Postoperative complication: myocardial infarction

Acta Anaesthesiologica Sinica

37卷4期（1999 / 12 / 01）

211 - 214

英文

我們常忽略了有關心肌缺血在心電圖中之表徵（如ST depression），卻沒有不良的偶發事件發生。然而，有些時候這些心肌缺血的現象卻又轉變成全然的心肌梗塞。因此，研究手術時可能造成術後心肌梗塞(PMI)的原因，有助於我們防範術後的心肌梗塞(PMI)。在此提供一個病例：某病人於術中的心電圖有心肌缺血之表徵(ST depression)，且其之後演變成術後的心肌梗塞。因此，我們針對此一從缺血現象轉變成術後心肌壞死的過程進行各種有可能之探討。

Often we ignore electrocardiogam (EKG) evidence of ischemia and no adverse events occur. Howevet; once in a while these ischemic episodes will turn into a full-blown myocardial infarction. Therefore, studying perioperative events which tilt the balance over to postoperative myocardial infarction (PMI) can enlighten our knowledge in postoperative myocardial infarction (MI) prevention. We present a case of ST depression in perioperative EKG evolving into postoperative MI. In this paper we attempt to explore various possibilities which could have altered this patient from her ischemic state into an infracted event.