Cơn đau thắt ngực prinzmetal lâm sàng

CƠN ĐAU THẮT NGỰC
PRINZMETAL

BS TUYẾT -- ECG


|| International Journal of Cardiology

Myron Prinzmetal 1908-1987: The man behind the variant
angina - International Journal of Cardiology

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Consulter


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DIGITAL ELECTROCARDIOGRAPHY
Weight :

Height:

Medication : TQ7

BP : 163/77

,TRUNG TAM Y KHOA MEDIC , 254 HOA HAO QUAN 10 TP HCM
Age:56
Sex:M
SPEED : 25mm/s

DATE : 30/ 5/2012

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WIAVF!

8:41

ROCARDIOGRA Bay ›IRUNG TÂM Y KH
cea
:
ệ
SPEED : 25mm/s

OA HAO QUAN 10 TP HCM
Age
: 56
3
Trụ?: 8:43
TIME

DATE : 30/ 5/2012
I.

LIVI

wid

LIAVLI

TIME:

II

_ aoreight

|

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1/IV2

1/2V2

1/1V3

1/2V3

-_ VIV4

ViV4

1⁄2V5

VIVS

V1V6

1⁄1V6

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DIGITAL ELECTROCARDIOGRAPHY
Patient name

:

Height :
Weight :
BP : 175/98
Medication ; MEDIC’CO THUOC

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ON

IIIIllillll

BP : 175/98
Height

Medication : MEDIC’CO THUOC

NN

1/2VI | 2
È

4
1/IDI |

Vai

1/IDII | !Ly

Ú

|
+

LIAV

SPEED : 25mm/s

DIGITAL ELECTROCARDIOGRAPHY ,TRUNG TAM CHAN DOAN Y KHOA MEDIC , 254 HÒA HAO QUAN 10 TP HCM
Patient name a
: =e

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VIDI

VWIAVR

,TRUNG TAM CHAN DOAN Y KHOA MEDIC , 254 HOA HAO QUAN 10 TP HCM

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1⁄IDm. |


MEDIC

CTY THHH Y TE HOA HAO - PHONG KHAMDA KHOA - MEDIC

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_ m=——DO D

BB

“..

CAS 3-1:
BN NAM 63 T NHAP
CAP CUU VI DAU
NGUC
ECG: ST CHENH

XUONG

NHE

/D2D3AVF, V4V5V6

00 00

T

AC OR 92M¿/OFT/EMG

T

ˆˆ

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CG

CTY TNHH Y TE HOA HAO - PHONG
Name:.................. ~~„ANH

Male

:

Physician Signature:

Page!

CTY TNHH Y TE HCA Wad + FACIKNG
FiAM DA KHOA - MEDIC
Nam: __..........
Male
:
63Y
Clinic No. :

———— =

Section:

Physician Signature:
Pagel


Glucose (FPG)'

7.47_H | (3.90 - 5.90 mmol/L)

QTSH001

SGOT (AST)!

23.48

(< 35 U/L)

QTSH005

SGPT (ALT)'

25.91

(3 - 30 U/L)

QTSH013

Urea/ Serum’

26.92

(15 - 49 mg/dL)

QTSH002

(M: 0.6 - 1.3; F:0.5 - 1.1 mg/dL)

QTSH027

Độ Lọc Cầu Thận (CKD-EPI)

.

Creatinin/Serum?

0.940

eGFR (CKD-EPI)

86

LDL Cholesterol?

3.07

(< 3.60 mmol/L)
2.60 H| (0.5 - 2.30 mmol/L)

Triglycerides’
Cholesterol, Total"

(> 90 mL/min/1.73 m2)

4.83

(2.6 - 5.2 mmol/L)

QTSH093
QTSH015
QTSH003

N DỊCH - IMMUNOLOGY
XN nhanh kháng ngun SARS CoV-2

Âm tính

ÂM TÍNH

( Dich ty hau )
TSH u.sensitive (3rd G)'

0.947

(0.32 -5 plU/ml)

QTMD009

Troponin-l hs (Abbotf)1

4.70

(M<34.2ng/L, F < 15.6 ng/L )

QTMD011.1

Troponin-T hs (Roche)'

46.30 _HỊ (< 14 ng/L)

QTMD016.3


c
STABLE ANGINA/
CLASSIC ANGINA

VARIANT ANGINA /
PRINZMETALANGINA

Atherosclerosis

Coronary Spasm

Occurs with exertion or
exercise

Relieved by rest or
antianginals

Typically at rest during

O06
UNSTABLE ANGINA/
CRESCENDO
ANGINA
Atherosclerosis with
blood clot

severe pain often occurs

night or early moming

at rest or minimal

hours

exertion

Relieved by anti angina drugs
(Nitroglycerin)
2

Not relieved by rest
or medication

=
®

,


@

RISKFACTORS
*
*
*
*

Nonmodifable:
Age (> 45 )
Male gender
Family history
(genetic
predisposition)
* Aethnic origin

@@

Modifable :

Dyslipidaemia
Arterial hypertension
Smoking
Diabetes mellitus
Obesity

Fatty food diet

Physical inactivity
Stress
Hypoestrogenemia in
female


If you have Prinzmetal angina, you probably will have: Chest pain or a
feeling of discomfort while resting, usually between midnight and 8 a.m.
The pain may move to your arm, head or shoulder. Recurrent episodes of
pain that last about five to 15 minutes per episode, possibly longer.


OXFORD

ACADEMIC

EP Europace
First case reported of a Prinzmetal vasospastic
angina diagnosed with the help of a smartwatch

Kết luận:

- Đau do co thắt mạch vành, xảy ra 1
lần hay nhiêu
lần tái lại

- Tiên lượng : tương đối tốt hay gây
RLNT ,NMCT
-ECG: ST chênh lên hay chênh xuống
- Phát hiện cơn đau nhờ ECG tele