TY - JOUR A2 - 今中，和仁AU - Abugroun阿什拉夫AU - Tyle，Aneesh AU - Faizan，法拉AU - Accavitti，欧丁玉 - 艾哈迈德·乔杜里AU - 王，西奥多PY - 2020 DA - 2020年3月16日TI -高钙血症诱发ST段抬高型仿急性心肌损伤：病例报告和文献SP的回顾 - 4159526 VL - 2020 AB - 在没有急性冠脉综合征ST段抬高可以在多个条件中可以看出，包括急性心包炎和冠状动脉血管痉挛，但很少有严重的高钙血症看到。作者提出了一个81岁的女性的情况下与肺癌的阶段4鳞状细胞癌，谁向急诊室深刻疲劳，乏力，厌食，嗜睡她的第一个化疗周期在两周后的历史。此外，她曾与恶化呼吸急促，以及右臂麻木相关右路胸痛投诉。心电图上到达医院获得呈弥漫ST段抬高（引线V3-V6，I，II，III，和aVF导）。Basic lab work found a calcium level of 20.4 mg/dl with elevated parathyroid hormone-related protein (PTHrP) of 135 pg/ml. Troponin I remained within normal limits. Serial EKS obtained during the patient’s hospitalization demonstrated resolution of the ST elevation as calcium level normalized. This case emphasizes the importance of hypercalcemia as a differential diagnosis for ST-segment elevation and QT shortening when acute coronary syndrome is not present. Awareness of these EKG changes is critical for early diagnosis, recognition, and appropriate treatment. SN - 2090-648X UR - https://doi.org/10.1155/2020/4159526 DO - 10.1155/2020/4159526 JF - Case Reports in Emergency Medicine PB - Hindawi KW - ER -