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急性下壁合并后壁心肌梗死的心电图表现及其临床特点分析
引用本文:钱跃秀,朱明莉. 急性下壁合并后壁心肌梗死的心电图表现及其临床特点分析[J]. 临床心电学杂志, 2006, 15(6): 412-413
作者姓名:钱跃秀  朱明莉
作者单位:1. 314000,浙江省嘉兴市妇幼保健院心电图室
2. 313000,浙江省湖州市中心医院心电图室
摘    要:目的探讨急性下壁合并后壁心肌梗死患者的心电图表现及其临床特点。方法对45例急性下壁合并后壁心肌梗死(A组)及60例单纯急性下壁心肌梗死(B组)患者的心电图进行对比分析。结果A组的平均RV1振幅、V1~V3导联ST段压低值及院内并发症发生率均显著高于乙组,两组比较差异有统计学意义(P<0.01,P<0.05)。结论急性下壁合并后壁心肌梗死患者的梗死面积大,院内并发症发生率高。后壁心梗的正确诊断对整个梗死面积的估计和预后判断有重要意义。

关 键 词:心肌梗死  心电图  梗死面积
文章编号:1005-0272(2006)06-412-02
收稿时间:2006-04-18
修稿时间:2006-08-22

Electrocardiographic changes and clinical characteristics of patients with acute inferior and posterior myocardial infarction
Qian Yuexiu,Zhu Mingli. Electrocardiographic changes and clinical characteristics of patients with acute inferior and posterior myocardial infarction[J]. Journal of Clinical Electrocardiology, 2006, 15(6): 412-413
Authors:Qian Yuexiu  Zhu Mingli
Affiliation:Zhejiang Province Women and Children Health Centre. Zhejiang 314000,Chian
Abstract:Objective To approach electrocardiographic changes and clinical characteristics of patients with acute inferior and posterior myocardial infarction. Methods The electrocardiographic changes of patients were comparatively analyzed and divided into two groups: Group A, 45 patients with acute inferior and posterior myocardial infarction; Group B, 60 patients with acute inferior myocardial infarction. Results The amplitude of RV1, V1-3 ST-segment depression and complication in hospital were higher significantly in group A than group B(p<0.01). Conclusions The infarction area is larger and the complication in hospital is higher in patients of acute inferior and posterior myocardial infarction. Thus, It is important to diagnose correctly posterior myocardial infarction to estimate infarction area and prognosis.
Keywords:acute myocardial infarction  electrocardiogram  infarction area
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