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急性心肌梗死心电图ST-T变化与相关梗死冠状动脉的关系
引用本文:张艳萍.急性心肌梗死心电图ST-T变化与相关梗死冠状动脉的关系[J].医学综述,2011,17(7):1102-1103.
作者姓名:张艳萍
作者单位:上海市宝山区大场医院心内科,上海,201900
摘    要:目的了解急性心肌梗死心电图ST-T变化与相关梗死冠状动脉的关系。方法选取2010年1~6月瑞金医院66例急性心肌梗死患者。行12导联心电图、心肌蛋白检测,根据需要加作18导联心电图;所有患者行冠状动脉造影术。观察不同部位心肌梗死心电图ST-T变化。结果 19例右冠状动脉病变中,ST段Ⅲ>Ⅱ19例,ST段Ⅰ、aVL下降15例;左旋支病变中,ST抬高Ⅱ>Ⅲ8例,ST段Ⅰ、aVL抬高7例。前壁心肌梗死,左前降支近端狭窄引起,V1~V5ST段抬高8例;左前降支中远端狭窄引起,V1~V3ST段抬高6例。结论根据急性心肌梗死心电图ST-T变化可以预测相关梗死血管,有助于预计可能出现的不良心血管事件及并发症。

关 键 词:急性心肌梗死  心电图  冠状动脉造影

The Relationship of ST-T Segment Elevation in Acute Myocardial Infarct and the Related Infarction Coronary
ZHANG Yan-ping.The Relationship of ST-T Segment Elevation in Acute Myocardial Infarct and the Related Infarction Coronary[J].Medical Recapitulate,2011,17(7):1102-1103.
Authors:ZHANG Yan-ping
Affiliation:ZHANG Yan-ping.(Dachang Hospital,Baoshan District,Shanghai 201900,China)
Abstract:Objective To understand the relationship of ST-T segment elevation in acute myocardial infarct and the related infarction coronary.Methods Selected 66 patients with acute myocardial infarction in Ruijin Hospital from January to June,2010.Do 12 lead electrocardiogram and cardiac troponin assays,add 18 lead electrocardiogram by necessity;all patients do coronary arteriography.To observe ST-T segment elevation in acute myocardial infarct of different parts.Results In the 19 cases with right coronary artery les...
Keywords:Acute myocardial infarct  Electrocardiogram  Coronarography  
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