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aVR ST段抬高对左主干及前降支近端病变的预测价值 被引量：4

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摘要 左主干狭窄是冠心病中的严重病变，易发生猝死。当前冠状动脉造影或64排螺旋CT可明确诊断。本文通过分析冠状动脉造影结果及与之相对应的心电图中aVRST段抬高情况，旨在评价aVRST段抬高对左主干及前降支近端严重病变的预测价值，为制定及时正确安全的治疗方案提供帮助。
作者 宗金波 陈智理 姜昌浩
机构地区 浙江省义乌市中心医院心内科
出处 《心电学杂志》 2011年第3期244-245,共2页 Journal of Electrocardiology(China)
关键词 ST段抬高 左主干狭窄 预测价值 AVR 前降支 病变 近端 冠状动脉造影
分类号 R542.22 [医药卫生—心血管疾病]
  • 相关文献

参考文献4

  • 1Yamaji H,1wasaki K,Kusachi S,et al.Prediction of acute left main coronary artery obstruction by 12-lead electrocardiography.ST Segment Elevation in lead aVR with Less ST Segment elevation in Lead V1.J Am Coil Cardiol,2001,38:1348-1354.
  • 2Herring N,Paterson D J.ECG diagnosis of acute ischemia and infarction:past,present and future.QJM,2006,99:219-230.
  • 3王龙,郭继鸿,王伟民,朱天刚.aVR、V_1导联心电图对左主干及前降支近端明显狭窄的诊断价值[J].临床心电学杂志,2007,16(2):93-96. 被引量：26
  • 4Gorgels A P,Engelen D J,Wellens H J.Lead aVR,a mostly ignored but very valuable lead in clinical electrocardiography.J Am Coll Cardiol,2001,38:1355-1356.

二级参考文献6

  • 1Gorgels APM, Vos MA, Mulleneers R, et al. Value of the electrocardiogram in diagnosing the number of severely narrowed coronary arteries in rest angina pectoris. Am J Cardiol ,1993;72:999.
  • 2Yamaji H, Iwasaki K, Kusachi S, et al. Prediction of acute left main coronary artery obstruction by 12-lead electrocardiography: ST-segment elevation in lead aVR with less ST-segment in lead V1. J Am Coll Cardiol, 2001; 38:1348-1354.
  • 3Yotsukura M, Toyafuku M, Tajino K, et al. Clinical significance of the disappearance of septal Q waves after the onset of myocardial infarction: correlation with locateon of responsible coronary lesions.J Electrocardiol,1999; 32:15.
  • 4Engelen DJ, Gorgels AP, Cheriex EC,et al. Value of the electrocardiogram in localizing the occlusion site in the left anterior descending coronary artery in acute anterior myocardial infarction. J Am Coll Cardiol,1999; 34:389-395.
  • 5颜红兵 柯元南 王勇 等.急性冠状动脉综合征左主干冠状动脉病变的体表心电图判读[J].中华心血管病杂志,2003,31:112-112.
  • 6程何祥,贾国良,王海昌,郭文怡,吕安林,李伟杰,栾荣华,李成祥,王小燕.心电图ST_(aVR)与ST_(V_1)抬高的差值对鉴别冠状动脉左主干与左前降支急性闭塞的价值[J].临床心血管病杂志,2003,19(11):647-649. 被引量：23

共引文献25

同被引文献28

  • 1杜乃立,杜瑞芝.心电图aVR导联ST段变化的临床意义[J].国外医学（心血管疾病分册）,2005,32(2):107-109. 被引量：27
  • 2王龙,郭继鸿,王伟民,朱天刚.aVR、V_1导联心电图对左主干及前降支近端明显狭窄的诊断价值[J].临床心电学杂志,2007,16(2):93-96. 被引量：26
  • 3Yamaji H,Iwasaki K,Kusachi S,et al.Prediction of acut left main coronary artery obstruction by 12-lead eletrocar-diography.ST Segment Elevation in lead aVR with Less ST Segment elevation in Lead V1[J].J Am Coil Cardiol,2001,38 (5):1348-1354.
  • 4Menown IB,Adgey AA.Improving the ECG classification of inferior and lateral myocardial infarction by inversion of lead aVR[J].Heart,2000,83(6):657-660.
  • 5Kanei Y,Sharma J,Diwan R,et al.ST-segment depression in aVR as aPredictor of culprit artery and infarct size in acute inferior wall ST-segment elevation myocardial infarction[J].J Electrocardiol,2010,43(2):132-135.
  • 6Senaratne MP,Weerasinghe C,Smith G,et al.Clinical utility of ST-segment depression in lead AVR in acute myocardial infarction[J].J Electrocardiol,2003,36(1):11-16.
  • 7Zhan ZQ,Nikus KC.Editorial:Factors influencing and sig-nificance of ST-segment deviation in lead aVR in acute infe-rior wall ST-eleation myocardial infarction[J].J Electro-cardiol,2010,43(4):288-293.
  • 8Tierala I,Nikus KC,Sclarovsky S,et al.Predicting the culprit artery in acutte ST elevation myocardial infarction and in-troducing a new algorithm toPredict infarct-related artery in inferior ST-elevation myocardial infarction:correlation with coronary anatomy in the HAAMU Trial[J].J Electrocardiol,2009,42(2):120-127.
  • 9Fiol M,Cygankiewicz I,Carrillo A,et al.Value of electrocar-diographic algorithm based on "ups and downs"of ST in as-sessment of a culprit artery in evolving inferior wall acute myocardial infarction[J].Am J Cardiol,2004,94(6):709-714.
  • 10Gaitonde R S, Sharma N, Ali-Hasan S, et al. Prediction of signif- icant left main coronary artery stenosis by the 12-lead electro- cardiogram in patients with rest angina pectoris and the with- holding of clopidogrel therapy[J]. Am J Cardiol, 2003,92:846- 848.

引证文献4

二级引证文献19

心电学杂志
2011年 第3期

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