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aVR导联ST抬高对急性非ST段抬高型心肌梗死者左主干或三支血管病变的预测
引用本文:朱红涛,朱春甲,晋从海,熊恩来,汪坤,支晓明,吴方斌,杨茹,赵永燕,汪杰.aVR导联ST抬高对急性非ST段抬高型心肌梗死者左主干或三支血管病变的预测[J].实用心电学杂志,2010,19(3).
作者姓名:朱红涛  朱春甲  晋从海  熊恩来  汪坤  支晓明  吴方斌  杨茹  赵永燕  汪杰
作者单位:安徽省铜陵市人民医院,244000
摘    要:目的研究急性非ST段抬高型心肌梗死(NSTE-AMI)者aVR导联抬高幅度,与冠状动脉造影(CAG)对比,判断其对左主干/三支病变(LM/3VD)诊断的指导作用。方法对比106例aVR导联ST段抬高程度,结合CAG结果,研讨诊断LM/3VD的敏感性、特异性及相关性。结果 aVR导联ST段抬高是LM/3VD的独立预测因子(P<0.01),aVR导联ST段抬高≥0.5mm预测LM/3VD的敏感性及特异性分别为76%、86%。ST段抬高≥1.0mm预测LM/3VD的敏感性及特异性分别为43%、96%,ST段抬高≥1.5mm预测LM/3VD的敏感性及特异性分别为18%、99%。结论 aVR导联ST段抬高是NSTE-AMI者LM/3VD非常有用的预测因子,特异性好。

关 键 词:急性非ST段抬高型心肌梗死  左主干  三支病变  冠状动脉造影  aVR导联

Effect of Elevation in Lead aVR for Left Main or 3-Vessal Disease in Patients with Non-ST Segment Elevation Acute Coronary Syndrome
ZHU Hong-tao,ZHU Chun-jia,JIN Cong-hai,XIONG En-lai,WANG Kun,ZHI Xiao-ming,WU Fang-bin,YANG Ru,ZHAO Yong-yan,WANG Jie.Effect of Elevation in Lead aVR for Left Main or 3-Vessal Disease in Patients with Non-ST Segment Elevation Acute Coronary Syndrome[J].Journal of Practical Electrocardiology JS,2010,19(3).
Authors:ZHU Hong-tao  ZHU Chun-jia  JIN Cong-hai  XIONG En-lai  WANG Kun  ZHI Xiao-ming  WU Fang-bin  YANG Ru  ZHAO Yong-yan  WANG Jie
Abstract:Objective To investigate effect of elevation in lead aVR for Left Main or 3-Vessal Disease(LM/3VD) in patients with Non-ST Segment Elevation Acute Coronary Syndrome(NSTE-ACS) by Comparing with Coronary angiography(CAG). Methods On admission,the clinical factors of 106 patients,who underwent coronary angiography,ware evaluated.The elevation in lead aVR were measured on 12-lead electrocardiogram,by which to to evaluate sensitivity,specificity and dependability in identifying LM/3VD. Results Elevation in lead ...
Keywords:Non-ST Segment Elevation Acute Coronary Syndrome Left Main 3-Vessal Disease Coronary angiography Elevation in lead aVR
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