| 急性前壁心肌梗塞下壁导联ST段压低的临床意义 |
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| 引用本文： | 陈步星,于祥志.急性前壁心肌梗塞下壁导联ST段压低的临床意义[J].中国心血管杂志,1998,3(1):19-21. |
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| 作者姓名： | 陈步星 于祥志 |
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| 作者单位： | 北京医科大学人民医院心内科 北京100044
(陈步星，徐成斌，王伟民，蒋宝琦，赵红)，黑龙江省建三江医院 进修医师(于祥志) |
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| 摘 要： | 对44例急性前壁心肌梗塞患者,将冠脉造影结果与体表心电图ST段改变进行比较分析.结果发现急性前壁心肌梗塞患者38.6%有下壁导联ST段压低,这些导联ST段压低与多支血管病变无关,而与前降支近端病变有关,可能反映高侧壁导联心肌缺血时心电图对应性改变.
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| 关 键 词： | 前壁 心肌梗塞 ST段改变 冠状动脉疾病 |
Significance of inferior ST-segment depression in anterior acute myocardial infarction |
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| Chen Bux-ing,Xu chengbin,Yu Xiangzhi,et al..Significance of inferior ST-segment depression in anterior acute myocardial infarction[J].Chinese Journal of Cardiovascular Medicine,1998,3(1):19-21. |
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| Authors: | Chen Bux-ing Xu chengbin Yu Xiangzhi |
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| Institution: | Chen Bux-ing,Xu chengbin,Yu Xiangzhi,et al. People's Hospital,Beijing Medical University,Beijing 100044 |
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| Abstract: | Coronary angiographic findings were compared with surface electrocardiographic ST-seg-ment changes in 44 patients with anterior acute myocardial infarction. The results showed that 38. 6% of patients with anterior myocardial infarction had ST-segment depression in inferior leads ,and these depressions were not associated with multi-vessel coronary lesions,but with left anterior descending coronary artery lesion proximal to the first diagonal branches. It is concluded that ST-segment depression in inferior leads during anterior myocardial infarction represents reciprocal changes to high anterolateral region,shown by ST-segment elevation in leads I and aVL. |
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| Keywords: | Anterior Myocardial infarction ST changes Coronary vessel lesion |
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