Effects of Family Presence During Resuscitation and Invasive Procedures in a Pediatric Emergency Department

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• 作者：Janice Mangurten ; Shari H. Scott ; Cathie E. Guzzetta ; Angela P. Clark ; Lori Vinson ; Jenny Sperry ; Barry Hicks ; Wayne Voelmeck
• 关键词：Exercise test ; chest pain ; transient LBBB in exertion
• 刊名：Journal of Emergency Nursing
• 出版年：2006
• 出版时间：June 2006
• 年：2006
• 卷：32
• 期：3
• 页码：225-233
• 全文大小：112 K

文摘

A case of a 25-year-old woman with familiar hypercholesterolemia, who was admitted complaining for chest pain on exertion, is presented. She underwent a treadmill stress test and during the exercise left bundle branch block with concomitant chest pain in low heart rate (105/min) was demonstrated. After these findings TL-201 scintigraphy with dipyridamole infusion was performed: Chest pain and left bundle branch block appeared again during the test, and the stress TL-201 tomographic images showed reversible defect in the anterior wall. Finally, the young woman underwent coronary arteriography, which showed normal coronary vessels. The ergonovine test for coronary spasm was negative.