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中华脑血管病杂志(电子版) ›› 2023, Vol. 17 ›› Issue (02) : 173 -176. doi: 10.11817/j.issn.1673-9248.2023.02.017

所属专题: 经典病例

病例报告

心房静止并心肌纤维化致青年卒中一例及文献复习
赵杰1, 庞杰1, 赵红梅1, 吕娟1, 李江涛1, 李亚楠1, 刘俊中2, 刘畅3, 王润青1,()   
  1. 1. 450007 河南郑州,郑州市中心医院神经内科
    2. 450007 河南郑州,郑州市中心医院神经介入科
    3. 450007 河南郑州,郑州市中心医院急诊科
  • 收稿日期:2022-02-24 出版日期:2023-04-01
  • 通信作者: 王润青
  • Received:2022-02-24 Published:2023-04-01
引用本文:

赵杰, 庞杰, 赵红梅, 吕娟, 李江涛, 李亚楠, 刘俊中, 刘畅, 王润青. 心房静止并心肌纤维化致青年卒中一例及文献复习[J]. 中华脑血管病杂志(电子版), 2023, 17(02): 173-176.

图1 青年脑卒中患者心电图检查示无P波及f波,QRS波形呈室上性图形
图2 青年脑卒中患者脑血管造影术示左侧颈内动脉C6段以远不显影
图3 青年脑卒中患者颅内动脉支架取栓术后造影示左颈内动脉C6段以远、左侧大脑中动脉通畅,TICI 3级
图4 青年脑卒中患者头MRI检查示左侧颞顶叶、基底节区、侧脑室旁亚急性期脑梗死。图a为弥散加权序列图像;图b为表观弥散系数序列图像;图c为液体衰减反转恢复序列图像 注:L为左侧,R为右侧
图5 青年脑卒中患者超声心动图检查示心室舒张期二尖瓣呈单峰,二尖瓣、三尖瓣少量反流
图6 青年脑卒中患者心脏电生理检查显示冠状窦无A波,V波明确,左房无电位,行电压标测,均为低电压区
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