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.
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.