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心电图在非ST段抬高急性冠状动脉综合征临床应用中的价值

Clinical Value of Electrocardiograms for Patients with Non-ST-Segment Elevation Acute Coronary Syndrome
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摘要 早期危险分层对于非ST段抬高急性冠状动脉综合征患者选择合适的治疗方案十分重要。心电图是临床工作中十分常用的一种辅助检查工具,已被广泛应用于非ST段抬高急性冠状动脉综合征的危险分层,ST段压低对心脏事件有显著预测价值。此外,有研究表明QRS波增宽、avR导联的ST段抬高也是非ST段抬高急性冠状动脉综合征患者左主干/三支血管病变非常有价值的预测因子。现就心电图在非ST段抬高急性冠状动脉综合征中的临床意义做一综述。 Early risk stratification is very important for choosing appropriate treatment strategies for patients with non-ST-segment elevation acute coronary syndromes. The electrocardiogram （ECG） is commonly used in clinical work and risk stratification. The presence of ST-segment depression is an especially strong predictor of cardiac events. Furthermore, some research has confirmed that a broad QRS duration and ST-segment elevation in lead aVR are valuable predictors in the diagnosis of left main and/or 3-vessel disease. This review explores the clinical valuable of ECG related to non-ST-segment elevation acute coronary syndromes.
作者 李邢婷 张晓刚
机构地区 重庆医科大学附属第一医院心内科
出处 《心血管病学进展》 CAS 2012年第1期96-99,共4页 Advances in Cardiovascular Diseases
关键词 非ST段抬高急性冠状动脉综合征 心电图 临床价值 Non-ST-segment elevation acute coronary syndrome electrocardiogram clinical value
分类号 R541.4 [医药卫生—心血管疾病] R540.4 [医药卫生—心血管疾病]
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心血管病学进展
2012年 第1期

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