| Objective: To explore the common cause and countermeasure on subendocardial myocardial infarction's misdiagnosis.
Methods: Retrospective analysis of nine subendocardial myocardial infarction's cases, including medical history, system physical examination,
ECG, myocardial enzymes, chest radiograph, echocardiography and so on. Results: 9 cases of subendocardial myocardial infarction
all had dynamic changes of clinical symptoms, ECG and myocardial enzyme. The diagnosis was definite, and coronary artery disease was
their main cause, induced by other factors on above basis. Conclusion: Clinicians didn't pay enough attention to subendocardial myocardial
infarction, or were not familiar with dynamic changes of ECG and myocardial enzymes, and they were the main reason on subendocardial
myocardial infarction's misdiagnosis. The author suggested inquiring detailed medical history, systemically applying physical and
laboratory examinations, and sensibly judging to diagnosis. |
