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心尖球形综合征的发病机制、诊断、处理及预后均不同与急性冠状动脉综合征,但二者的临床特征类似,很容易误诊误治,因此正确诊断及鉴别诊断具有重要的临床意义。谨就二者的临床特征、心电图、心肌酶学、冠状动脉造影、影象学、心功能等改变的异同,诊断及鉴别诊断进行了综述,并对心尖球形综合征的发病机制进行了探讨。
The pathogenesis, diagnosis, treatment and prognosis of apex spherical syndrome are different from those of acute coronary syndrome. However, their clinical features are similar and they are easily misdiagnosed and mistakenly treated. Therefore, correct diagnosis and differential diagnosis have important clinical significance. The clinical features, electrocardiogram, myocardial enzymology, coronary angiography, imaging, cardiac function and other changes in the similarities and differences, diagnosis and differential diagnosis of the two were reviewed, and the pathogenesis of apex spheroid syndrome was discussed.