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Tilfelli mánaðarins : óvæntar breytingar á hjartalínuriti [sjúkratilfelli]

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Authors
Berglind Aðalsteinsdóttir
Maríanna Garðarsdóttir
Davíð O. Arnar,
Issue Date
2010-10-01

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Other Titles
Case of the month. Unexpected ECG changes [case reports]
Citation
Læknablaðið 2010, 96(10):623-5
Abstract
deildarlæknir Maríanna Garðarsdóttir röntgenlæknir Davíð O. Arnar hjartalæknir Fjörutíu og tveggja ára gömul kona sem hafði verið með svæsna iktsýki um nokkurra ára skeið lagðist inn til lyfjameðferðar. Hún hafði verið heilsuhraust, fyrir utan gigtarsjúkdóminn, og hafði ekki fundið fyrir einkennum um hjartasjúkdóm. Konan hafði farið í hjartaþræðingu tveimur árum áður vegna vægra T-bylgjubreytinga í leiðslum V1 – V3 á hjartalínuriti en reyndist vera með eðlilegar kransæðar. Ómskoðun af hjarta á þeim tíma var einnig eðlileg. Hún tók eftirfarandi lyf við innlögn; T. Naproxen 375 mg 1x2, T. Losec 20 mg 1x1, T. Prednisólon 5 mg 1x1 og T. Methotrexat 15 mg á viku. Við innlögn var tekið nýtt hjartalínurit. Það sýndi óvænt verulegar breytingar (mynd 1). Hún var einkennalaus frá hjarta á þeim tíma. - Hvað er afbrigðilegt við þetta hjartalínurit og hverjar eru helstu mismunagreiningarnar?
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Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open)
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Case of the month (Sjúkratilfelli mánaðarins) Articles in Icelandic

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