PDF(Pubmed)
Abstract：
BACKGROUND: As acute myocardial infarction (AMI) prevalence is increasing because of lifestyle changes, the incidence of atypical symptoms in acute coronary syndrome (ACS) is rising and making misdiagnosing of this fatal event more probable. To better approach the patients with atypical symptoms, we tend to present a rare case of AMI with wrist pain.
METHODS: A 41-year-old man presented to the emergency room (ER) with severe both-hand wrist pain and mild epigastric pain. His electrocardiogram (ECG) showed anterior ST-elevation myocardial infarction (MI) with an ejection fraction of 35-40%. His angiography showed severe left anterior descending artery (LAD), and first obtuse marginal artery (OM1) artery stenosis. He underwent Primary percutaneous coronary intervention (PCI). The patient recovered without serious complications and was discharged the day after PCI.
CONCLUSIONS: In this rare case of AMI with wrist pain, it is important to know that atypical symptoms can be present at various levels of symptoms, which prevents future misdiagnosis.
METHODS: A 41-year-old man presented to the emergency room (ER) with severe both-hand wrist pain and mild epigastric pain. His electrocardiogram (ECG) showed anterior ST-elevation myocardial infarction (MI) with an ejection fraction of 35-40%. His angiography showed severe left anterior descending artery (LAD), and first obtuse marginal artery (OM1) artery stenosis. He underwent Primary percutaneous coronary intervention (PCI). The patient recovered without serious complications and was discharged the day after PCI.
CONCLUSIONS: In this rare case of AMI with wrist pain, it is important to know that atypical symptoms can be present at various levels of symptoms, which prevents future misdiagnosis.
摘要：
背景：由于生活方式的改变，急性心肌梗死（AMI）的患病率正在增加，急性冠脉综合征(ACS)中不典型症状的发生率正在上升,这使得误诊这一致命事件的可能性增加.为了更好地处理症状不典型的患者，我们倾向于提出一个罕见的病例AMI与腕部疼痛。
方法：一名41岁男子因严重的双手腕部疼痛和轻度上腹痛被送往急诊室（ER）。他的心电图（ECG）显示前ST抬高型心肌梗死（MI），射血分数为35-40％。他的血管造影显示左前降支严重，和第一钝缘动脉（OM1）动脉狭窄。他接受了直接经皮冠状动脉介入治疗（PCI）。患者康复，无严重并发症，PCI术后第二天出院。
结论：在这种罕见的AMI伴腕部疼痛的病例中，重要的是要知道非典型症状可以存在于不同程度的症状中，防止将来误诊.
方法：一名41岁男子因严重的双手腕部疼痛和轻度上腹痛被送往急诊室（ER）。他的心电图（ECG）显示前ST抬高型心肌梗死（MI），射血分数为35-40％。他的血管造影显示左前降支严重，和第一钝缘动脉（OM1）动脉狭窄。他接受了直接经皮冠状动脉介入治疗（PCI）。患者康复，无严重并发症，PCI术后第二天出院。
结论：在这种罕见的AMI伴腕部疼痛的病例中，重要的是要知道非典型症状可以存在于不同程度的症状中，防止将来误诊.
