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急性心肌梗死心电图的不典型改变
引用本文:张云,张汉灵,杨敏. 急性心肌梗死心电图的不典型改变[J]. 中国基层医药, 2009, 16(1): 43-44. DOI: 10.3760/cma.j.issn.1008-6706.2009.01.022
作者姓名:张云  张汉灵  杨敏
作者单位:汕头大学医学院第一附属医院心内科,广东省汕头,515041
摘    要:目的探讨急性心肌梗死(AMI)的不典型心电图表现及发生率。方法对352例AMI患者进行心电图检查、心电监护、24h动态心电图及心肌酶学检测、冠状动脉造影。结果AMI患者不典型心电图表现为微小q波伴不同程度ST段抬高、延迟出现q/Q波、仅ST—T改变,发生率为14.5%。结论AMI心电图不典型表现有多种改变。

关 键 词:心肌梗死  心电描记术  临床分析  治疗方法

The ECG atypical changes in acute myocardial infarction
ZHANG Yun,ZHANG Han-ling,YANG Min. The ECG atypical changes in acute myocardial infarction[J]. Chinese Journal of Primary Medicine and Pharmacy, 2009, 16(1): 43-44. DOI: 10.3760/cma.j.issn.1008-6706.2009.01.022
Authors:ZHANG Yun  ZHANG Han-ling  YANG Min
Affiliation:( Department of Cardiology, The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong 515041, China)
Abstract:Objective To investigate the ECG atypical changes in acute myocardial infarction(AMI). Meth-ods 352 patients with AMI were selected sequentially and examined by electrocardiogram(ECG) ,Holter of 24h,my-ocardial enzymes testing and coronary angiography, and electrocardio-monitoring was performed at the same time. Data were analyzed by statistics. Results The incidence of ECG atypical changes in patients with AMI was 14. 5%. The ECG atypical changes including Q wavelet with the elevation value of ST segment, the delays of Q wave and the only changes of ST-T. Conclusion The above several kind of ECG performane are present in atypical AMI.
Keywords:Myocardial infarction  Electrocardiography
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