| 急性脑卒中老年患者心电图ST段抬高的临床意义 |
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| 引用本文： | 张惠琪,向定成. 急性脑卒中老年患者心电图ST段抬高的临床意义[J]. 岭南心血管病杂志, 2009, 15(6). DOI: 10.3969/j.issn.1007-9688.2009.06.010 |
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| 作者姓名： | 张惠琪 向定成 |
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| 作者单位： | 1. 河源市人民医院内一科,河源,517000
2. 广州军区广州总医院心内科,广州,510010 |
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| 摘 要： | 目的探讨老年急性脑卒中患者心电图ST段抬高是否具有急性心肌梗死的临床意义。方法选择急性脑卒中合并心电图上相邻两个以上导联ST段抬高、且于脑卒中后3个月～6个月内接受了冠状动脉造影的老年患者46例为研究对象,根据心电图演变、心肌血清标记物检测及冠状动脉造影结果,将患者分为急性脑卒中合并急性心肌梗死的ST段抬高组和非急性心肌梗死的ST段抬高组,进行组间临床特征的分析比较。结果46例急性脑卒中伴ST段抬高的患者中,合并急性心肌梗死者12例,心肌梗死组合并心房颤动、糖尿病、既往冠状动脉性心脏病(冠心病)史、纤维蛋白原水平、心肌型肌钙蛋白I和肌酸激酶同工酶阳性率均显著高于非心肌梗死组(P<0.05或0.01)。心肌梗死组多为ST段弓背向上抬高,幅度多≥0.2 mV,多呈动态演变且伴R波的进行性降低。而非心肌梗死组的ST段抬高多不具有上述特点。结论急性脑卒中所伴发的心电图ST段抬高患者中约30%合并急性心肌梗死,严密观察心电图演变及血清心肌标记物水平可资早期鉴别。
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| 关 键 词： | 脑血管意外 心电图 心肌梗死 |
Clinical value of elevated ST segment in geriatric patients with acute stroke |
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| ZHANG Hui-qi,XIANG Ding-cheng. Clinical value of elevated ST segment in geriatric patients with acute stroke[J]. South China Journal of Cardiovascular Diseases, 2009, 15(6). DOI: 10.3969/j.issn.1007-9688.2009.06.010 |
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| Authors: | ZHANG Hui-qi XIANG Ding-cheng |
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| Affiliation: | 1.Department No.1 of Internal Medicine; People s Hospital of Heyuan City; Heyuan Guangdong 517000; China; 2.Department of Cardiology; Guangzhou General Hospital of Guangzhou Army District; Guangzhou 510010; China); |
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| Abstract: | Objectives To evaluate the value of elevated ST segment of electrocardiogam in geriatric patients with acute stroke.Methods The geriatric patients with acute stroke with elevated ST segment in more than two adjacent leads of electrocardiogram were included in the study.Coronary angiography was undergone in three to six months after acute stroke.Acute myocardial infarction(MI) was diagnosed according to serial electrocardiogram changes, elevated level of myocardial seroenzyme and coronary angiogram.The clini... |
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| Keywords: | stroke electrocardiogram myocardial infarction |
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