Cơn đau thắt ngực prinzmetal lâm sàng

V. KHÁM LÂM SÀNG  BN tỉnh, tiếp xúc tốt, tổng trạng trung bình  Da niêm hồng  Hạch tam giác cổ sau trái  Sinh hiệu: Mạch: 92 lầnphút Huyết áp: 140102 mmHg Nhiệt độ: 36.8oC  Tim đều rõ  Phổi trong  Bụng mềm, không đề kháng, gan lách thận không sờ chạm  Không dấu thần kinh khu trú

CƠN ĐAU THẮT NGỰC

PRINZMETAL

BS TUYẾT ECG

|| International Journal of Cardiology F consuiter_]

Consulter

Myron Prinzmetal 1908-1987: The man behind the variant

angina - International Journal of Cardiology

DIGITAL ELECTROCARDIOGRAPHY ,TRUNG TAM Y KHOA MEDIC , 254 HOA HAO QUAN 10 TP HCM

Height: Weight : BP : 163/77 SPEED : 25mm/s DATE : 30/ 5/2012 TIME : 8:41

Medication : TQ 7

wid

vpn | 1/IV2

|

VDI | 1/1V3

|

mI

|

LIAVLI

-_ VIV4

1⁄2V5

|

ES ROCARDIOGRA Bay ›IRUNG TÂM Y KH OA HAO QUAN 10 TP HCM

cea

Age : 56 3 eight : ệ SPEED : 25mm/s I Trụ? Íll[illliillll|

_ aor DATE : 30/ 5/2012 TIME : 8:43

LIVI

1/2V2

1/2V3

ViV4

VIVS

1⁄1V6

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

Patient name :

Height : Weight : BP : 175/98 SPEED : 25mm/s

Medication ; MEDIC’CO THUOC

i i rr

VIDI

È

4

1/IDI | Vai

1/IDII | Ly VWIAVR | Ú !

+

|

LIAV

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ON NN 1/2VI | 2

DIGITAL ELECTROCARDIOGRAPHY ,TRUNG TAM CHAN DOAN Y KHOA MEDIC , 254 HÒA HAO QUAN 10 TP HCM

Patient name : Height

1⁄IDm |

BP : 175/98 Medication : MEDIC’CO THUOC

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

CAS 3-1:

BN NAM 63 T NHAP

CAP CUU VI DAU

NGUC

ECG: ST CHENH

XUONG NHE

/D2D3AVF, V4V5V6

00 00 AC OR 92M¿/OFT/EMG ˆˆ `, \_.À

T T

CTY TNHH Y TE HOA HAO - PHONG

CG Name: ~~„ANH Male :

Physician Signature:

Page!

CTY TNHH Y TE HCA Wad + FACING K FiAM DA KHOA - MEDIC Nam: Male : 63Y Clinic No : Section :

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

Độ Lọc Cầu Thận (CKD-EPI)

Creatinin/Serum? 0.940 (M: 0.6 - 1.3; F:0.5 - 1.1 mg/dL) QTSH027 eGFR (CKD-EPI) 86 (> 90 mL/min/1.73 m2)

LDL Cholesterol? 3.07 (< 3.60 mmol/L) QTSH093

Triglycerides’ 2.60 H| (0.5 - 2.30 mmol/L) QTSH015

Cholesterol, Total" 4.83 (2.6 - 5.2 mmol/L) QTSH003

N DỊCH - IMMUNOLOGY

XN nhanh kháng nguyên 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 O06

STABLE ANGINA/ VARIANT ANGINA / UNSTABLE ANGINA/

CLASSIC ANGINA PRINZMETALANGINA CRESCENDO

ANGINA

Atherosclerosis with blood clot

Occurs with exertion or Typically at rest during severe pain often occurs

night or early moming at rest or minimal

exertion

exercise

hours

Relieved by rest or Relieved by anti - Not relieved by rest

@ 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