情绪压抑和精神行紧张引起的心肌缺血—一个无形的杀手（英文课件）.pptVIP

Wei Jiang, MDAssociate Professor  Internal Medicine Psychiatry Behavioral Sciences Duke University Medical Center Purgason K. Dimensions of Critical Care Nursing. 2006;25:247-53 A 64yo WF presents to a local ER, complaining of 2-h substernal chest pain Mild dyspnea with HR 72 bpm, BP 136/72 mm Hg, RR 20/min, T 97.9°F, and O2 saturation 96% on RA No past medical history, postmenopausal, walks daily, and on balanced diet 12-lead EKG shows ST elevation in leads V3-V6, troponin 3.5 ng/dL and CPK 275 μm/L, LVEF 40% with moderate ventricle dysfunction, apical akinesis, and preserved basal f