a 21-year-old patient with acute myardical infarction beijing anzhen hospital capital medical...
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![Page 1: A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical University Cui song Zhu Xiao-ling](https://reader036.vdocument.in/reader036/viewer/2022062519/5697bfe01a28abf838cb3491/html5/thumbnails/1.jpg)
A 21-year-old patient with acute myardical infarction
Beijing Anzhen Hospital Capital Medical University Beijing Anzhen Hospital Capital Medical University
Cui song Zhu Xiao-ling
![Page 2: A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical University Cui song Zhu Xiao-ling](https://reader036.vdocument.in/reader036/viewer/2022062519/5697bfe01a28abf838cb3491/html5/thumbnails/2.jpg)
male, 21y,chest pain of four hour onset The electrocardiogram : ST-segment elevation in the
leads I 、 avL and V1-V6 The cardiac enzyme levels CK1793U/L,CK-MB212ng/ml,cTnI30.29ng/ml
General information
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Echocardiography : anterior-lateral hypokinesia blood pressure : 120/85 mmHg, HR:78 beats/min Heart sounds were normal without a gallop sound or
significant murmur. no cardiac risk factors for coronary artery disease consistent with acute anterior-lateral myocardial infarction
![Page 4: A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical University Cui song Zhu Xiao-ling](https://reader036.vdocument.in/reader036/viewer/2022062519/5697bfe01a28abf838cb3491/html5/thumbnails/4.jpg)
appropriate treatment was instituted including low-dose aspirin 300mg,100mg,qd
loading-dose clopidogrel 300mg,75mg,qd 5%GS100ml+Diltiazem 20 mg, ivgtt,st metoprolol,12.5mg.bid, 5%GS100ml+Isosorbide Dinitrate 30mg,ivgtt Clexane 60mg,ih,q12h Enalapril,2.5mg , qd Simvastatin, 10mg , qn Tirofiban,7ml/h,24h,ivgtt
![Page 5: A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical University Cui song Zhu Xiao-ling](https://reader036.vdocument.in/reader036/viewer/2022062519/5697bfe01a28abf838cb3491/html5/thumbnails/5.jpg)
Admission ECG
![Page 6: A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical University Cui song Zhu Xiao-ling](https://reader036.vdocument.in/reader036/viewer/2022062519/5697bfe01a28abf838cb3491/html5/thumbnails/6.jpg)
2 hours after of admission
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Urgent diagnostic coronary angiography
![Page 8: A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical University Cui song Zhu Xiao-ling](https://reader036.vdocument.in/reader036/viewer/2022062519/5697bfe01a28abf838cb3491/html5/thumbnails/8.jpg)
Urgent diagnostic coronary angiography
![Page 9: A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical University Cui song Zhu Xiao-ling](https://reader036.vdocument.in/reader036/viewer/2022062519/5697bfe01a28abf838cb3491/html5/thumbnails/9.jpg)
![Page 10: A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical University Cui song Zhu Xiao-ling](https://reader036.vdocument.in/reader036/viewer/2022062519/5697bfe01a28abf838cb3491/html5/thumbnails/10.jpg)
17 days diagnostic coronary angiography
![Page 11: A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical University Cui song Zhu Xiao-ling](https://reader036.vdocument.in/reader036/viewer/2022062519/5697bfe01a28abf838cb3491/html5/thumbnails/11.jpg)
17 days ECG
![Page 12: A 21-year-old patient with acute myardical infarction Beijing Anzhen Hospital Capital Medical University Cui song Zhu Xiao-ling](https://reader036.vdocument.in/reader036/viewer/2022062519/5697bfe01a28abf838cb3491/html5/thumbnails/12.jpg)
Question
Do all yang patients with acute mycardical infarction need PCI ?
Statins have been applied?The pathogenesis of this case?
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