Atypical clinical diagnosis and treatment of myocardial infarction.docVIP

 PAGE \* MERGEFORMAT 10 Atypical clinical diagnosis and treatment of myocardial infarction [Paper Keywords] are not typical of myocardial infarction; misdiagnosis [Abstract] Objective To investigate the clinical features of atypical myocardial infarction. Methods From December 2004 - December 2008 35 cases of AMI patients were retrospectively analyzed the clinical results to the gastrointestinal tract as the main, upper abdominal pain associated with nausea, vomiting, first diagnosed four cases misdiagnosed as gastritis, cholecystitis in 2 cases, one case of peptic ulcer, gastric perforation in 1 case, after examination by the ECG diagnosis of myocardial enzymes in acute inferior infarction, 6 cases of posterior wall infarction in 3 cases, the former wall infarction in 1 case; with chest tightness, shortness of breath, cough, sputum, wheezing, lung wet and dry rales of the main features of misdiagnosed as asthma in 5 cases, left heart failure in 2 cases; with acute dyspnea as the main performers misdiagnosed as pneumonia 10 cases; misdiagnosed neck pain, sore throat, 2; coughing, wheezing, shock for the performance without any pain in 2 cases; palpitations for the performance of the arrhythmia in 1 case. Conclusion clinician response to acute myocardial infarction pain and symptom variation of site variation have sufficient knowledge of suspected acute myocardial infarction patients should immediately be routine ECG monitoring and dynamic observation of serum creatine kinase, to avoid the limitations of diagnostic thinking and differential diagnosis of one-sidedness. Acute myocardial infarction (AMI) is a medical emergency and critical disease is one of the coronary atherosclerosis, based on the concurrent intravascular thrombosis. Abrupt onset of the disease risks of clinical manifestations in various forms, can occur in a variety of serious complications, if not timely diagnosis and treatment, the mortality rate is high. now our hospital in December