| 急性心肌梗死U波倒置意义的临床评价 |
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| 引用本文： | 吴士彬,李广平,庄振云. 急性心肌梗死U波倒置意义的临床评价[J]. 天津医药, 2000, 28(10): 594-596 |
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| 作者姓名： | 吴士彬 李广平 庄振云 |
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| 作者单位： | 300211,天津医科大学第二医院心脏科 |
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| 摘 要： | 目的：探讨急性心肌梗死（ＡＭＩ）Ｕ波倒置的临床意义。方法：对１５０例ＡＭＩ患者中２１例有Ｕ波倒置的进行分析。结果：有Ｕ波倒置患者心绞痛的发生率为７６．２％（１６／２１例），高于无Ｕ波倒置者的３３．３％（４３／１２９例）（Ｐ〈０．０１）。Ｕ波倒置常提示存在左前降支病变，本组５例Ｕ波倒置冠状动脉造影均有左前降支病变（１００％），无Ｕ波倒置１９例行冠状动脉造影１１例（５７．９％）有左前降支病变（＝０．１
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| 关 键 词： | 急性心肌梗死 U波倒置 心电图 临床评价 |
Clinical Evaluation of Inversive U Wave in Patients with Acute Myocardial Infarction |
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| WU Shibin,LI Guangping,ZHUANG Zhenyun. Clinical Evaluation of Inversive U Wave in Patients with Acute Myocardial Infarction[J]. Tianjin Medical Journal, 2000, 28(10): 594-596 |
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| Authors: | WU Shibin LI Guangping ZHUANG Zhenyun |
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| Abstract: | Objective: To investigate the clinical significance of inveisive U waves in patients with acute myocardial infarction. Methods: Inveisive U waves were analyzed in 21 of 150 patients with acute myocardial infarction. Results:The incidence of angina pectoris with inversive U wave was 76.2%(16/21),and was higher than that without inversive U wave(43/129, 33.3%)(P<0.01). Inversive U wave indicated the lesion of left anterior descending coronary artery. Left anterior descending lesions were found in 5(100%)patients with inversive U wave,and 11(57.9%)patients without inversive U wave using coronary angiography( P = 0.102 8). Conclusion: Inversive U wave is a more useful and specific method in diagnosing cardiopathy compared with abnormal T wave. |
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| Keywords: | acute disease myocardial infarction coronary disease angina pectoris coronary angiography eletrocardiography |
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