*仅供医学专业人士阅读参考 这个病可真会藏! 当患者表现出心动过缓、T波倒置和ST段抬高(尤其是下壁导联)时,除了考虑急性冠脉综合征,还必须要考虑非心源性因素(包括胆囊炎)的鉴别诊断。腹痛和胆结石患者的心动过缓可能是由于迷走心胆反射引起的。 [1] Strasberg SM. Clinical practice. Acute calculous cholecystitis [published erratum appears in N Engl J Med. 2008;359(3): 325] N Engl J Med. 2008;358(26):2804–11. [2] Elwood DR. Cholecystitis. Surg Clin North Am. 2008;88(6):1241–52. [3]Schuld J, Glanemann M. Acute cholecystitis. Viszeralmedizin. 2015;31(3):163–65. [4]Katabathina VS, Zafar AM, Suri R. Clinical presentation, imaging, and management of acute cholecystitis. Tech Vasc Interv Radiol. 2015;18(4):256–65. [5] Yeh DD, Chang Y, Tabrizi MB, et al. Derivation and validation of a practical Bedside Score for the diagnosis of cholecystitis. Am J Emerg Med. 2019;37(1):61–66. [6] Demarchi MS, Regusci L, Fasolini F. Electrocardiographic changes and false-positive troponin I in a patient with acute cholecystitis. Case Rep Gastroenterol. 2012;6(2):410–14. [7] O’Reilly MV, Krauthamer MJ. “Cope’s sign” and reflex bradycardia in two patients with cholecystitis. Br Med J. 1971;2(5754):146. [8] Krasna MJ, Flancbaum L. Electrocardiographic changes in cardiac patients with acute gallbladder disease. Am Surg. 1986;52(10):541–43. [9]Papakonstantinou PE, Asimakopoulou NI, Kanoupakis E, et al. Cope’s sign and complete heart block in a 78-year-old patient with biliary colic. Int Emerg Nurs. 2018;37:3–5. [10]Lau YM, Hui WM, Lau CP. Asystole complicating acalculous cholecystitis, the “Cope’s sign” revisited. Int J Cardiol. 2015;182:447–48. [11]Franzen D, Jung S, Fatio R, Brunckhorst CB. Complete atrioventricular block in a patient with acute cholecystitis: A case of cardio-biliary reflex? Eur J Emerg Med. 2009;16(6):346–47. [12] Aksay E, Ersel M, Kiyan S, et al. Acute coronary syndrome mimicked by acute cholecystitis. Emerg Med Australas. 2010;22(4):343–46. [13]Patel N, Ariyarathenam A, Davies W, Harris A. Acute cholecystits leading to ischemic ECG changes in a patient with no underlying cardiac disease. JSLS. 2011;15(1):105–8. [14]Ozeki M, Takeda Y, Morita H, et al. Acute cholecystitis mimicking or accompanying cardiovascular disease among Japanese patients hospitalized in a Cardiology Department. BMC Res Notes. 2015;8:805 本文首发:医学界心血管频道 本文作者:努尔巴哈尔
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