男性,30岁。主诉足球赛时,未作预备活动,开始比赛,胸前区剧痛,放射至背部及上肢,并恶心,大汗淋漓,无吸烟史。体检血压120/80 mmHg,心率86次/min。心脏听诊(-),肺底无啰音,颈静脉不怒张,腹部(-),下肢不水肿。心电图疑前壁心肌梗死,V2~V5ST段上抬,T波倒置(图1)。肌钙蛋白4·54 ng Male, 30 years old. During the main complaint against the football match, no preparations were made to start the match. The pain in the chest area was radiated to the back and upper extremities and nausea, sweating and no smoking history. Physical examination blood pressure 120/80 mmHg, heart rate 86 beats / min. Cardiac auscultation (-), no arachnoid at the bottom of the lung, jugular vein without tension, abdomen (-), lower extremity without edema. ECG suspected anterior myocardial infarction, V2 ~ V5ST segment elevation, T wave inversion (Figure 1). Troponin 4 · 54 ng