摘要
本文报道1组老年人(80.8±6.1岁)心前导联巨T倒置达数年之久,其特点认为酶学检查不增高,持续性心前导联T波非对称性倒置≥1.0mV,静滴硝酸甘油不改善,心绞痛发作时T波变浅。此组11例均为冠心病,其中8例同时有高血压病,5例有心室肥厚。对于此类病人应慎下急性心内膜下心梗的诊断,慎用抗凝甚至溶栓治疗。
A study of 11 patients(80. 8± 6. 1 yrs)with persistant negative T wave in precardial leads was reported. The characteristics of this group included:the levels of cardiac enzymes were not elevated and the asymmetric negative T wave was ≥ 0. 1mV,which was not relieved by intravenous infusion of nitroglycerin, but was shallowed during attacks of angina pectoris. All the cases had coronary heart disease , eight of them with hypertension and five with ventricular hypertrophy. In these patients, a hasty diagnosis of acute subendocardial infaction and the free use of anticoagulant or even thrombolytic drugs,should be avoided.
出处
《实用老年医学》
CAS
1995年第4期169-171,共3页
Practical Geriatrics
关键词
心前导联
巨T波倒置
心电图
老年人
Giant negative T wave Precardial leads Electrocardiogram