Acute Myocardial Infarction in a Patient With Tetralogy of Fallot
Acute Myocardial Infarction in a Patient With Tetralogy of Fallot
复制标题
法洛四联症患者的急性心肌梗塞
DOI：
10.1001/archinte.1969.00300140085020
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发表时间：
1969
期刊：
影响因子：
--
通讯作者：
R. Bache
中科院分区：
文献类型：
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作者：
J. Bond;G. Sarosi;R. Bache
虽然法洛特原始论文中描述的年龄最大的患者为36岁，但最近，有报道称，有几名患者存活到了70岁。由于这种延长的生存期，许多通常与晚期生命相关的退行性疾病可能在这些患者中发展。我们报告一位68岁男性法洛四联症患者，经导管确认，他患有急性心肌梗死，并平静地恢复。自患者记事以来，他在用力时出现轻度呼吸困难，手指和脚趾杵状，甲床发绀。无蹲坐史。当他十几岁的时候，在一次保险检查中第一次发现了心脏杂音。当患者19岁时，进行了扁桃体切除术和阑尾切除术，没有发生事故。他一直当焊工到40岁，从那以后就一直当焊工
While the oldest patient described in Fallot's original paper was 36 years old, 1 lately, survival of several patients 2-5 into the seventh decade of life has been reported. Because of this prolonged survival, many of the degenerative diseases usually associated with advanced life may develop in these patients. We are reporting a 68-year-old man with tetralogy of Fallot, confirmed by catheterization, who had an acute myocardial infarction and recovered uneventfully. Patient Summary For as long as the patient could remember, he had had mild dyspnea on exertion, clubbing of fingers and toes, and cyanosis of nail beds. No history of squatting was present. When he was in his teens, a heart murmur was first noted during an insurance examination. When the patient was 19 years old, a tonsillectomy and an appendectomy were performed without incident. He had worked as a welder until age 40, and since then had been