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心电图中aVR导联在心血管病诊断中的地位

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摘要 传统常规12导联心电图中,aVR导联的作用长期被忽视.近来发现在心肌梗死＂罪犯血管＂的判定、心律失常、心动过速的鉴别等中,aVR导联有不可代替的作用[1].心肌梗死＂罪犯血管＂的定位aVR导联对心肌梗死（myocardial infarction,MI）诊断有重要价值,aVR导联ST段抬高或压低,其幅度均与病变血管的支数及梗死面积相关[2].关键词：aVR导联;左主干病变;心律失常;心肌梗死分类号：R541.4＋1
作者 张丛
机构地区 山东邹城市人民医院
出处 《内科急危重症杂志》 2013年第5期306-307,共2页 Journal of Critical Care In Internal Medicine
关键词 AVR导联 左主干病变 心律失常 心肌梗死
分类号 R541.41 [医药卫生—心血管疾病]
  • 相关文献

参考文献20

  • 1何秉贤.述评:aVR导联心电图在心血管病诊断中的新价值[J].临床心电学杂志,2010,19(3):170-173. 被引量：7
  • 2Gorgels AP,Engelen DJ,Wellens HJ.The eleetroeardiogram in aente myoeardial infarction[J].in Fuster V,Alexander RW,'Rourke RA,editor.Hurst's the Hearl 10th ed New York.NY:MeGraw-Hill.2000:1361-1371.
  • 3Kosug M,Kimura K,Ishikawa T,et al.Predictors of left main or three-vessel disease in patients who have acute coronary ayndromes with non-ST-segment elevation[J].Am J Cardiol,2005,95 (11):1366-1369.
  • 4Yamaji H,Iwasaki K,Kusachi S,et al.Prediction of acute left main coronary artery obstruction by 12-lead electeocardiography.ST segment elevation in lead aVR with less ST segment eleraion in lead V (1)[J].J Am Coll Cardiol,2001,38(5):1348-1354.
  • 5Nikus KC.Acute total occlusion of the left main coronary artery with emphasis on electrocardiographic manifestations[J].Timely Top Med Cardiovasc Dis,2007,11 (1):E22.
  • 6张萍.应当重视aVR导联在冠心病心电图中的新作用[J].临床心电学杂志,2007,16(2):92-92. 被引量：6
  • 7aVR导联ST段抬高在急性ST段抬高型心肌梗死中的意义[J].中华急诊医学杂志,2008,17(10):1085-1087. 被引量：6
  • 8Sun TW,Wang LX,Zhang YZ,et al.The value of ECG Leads aVR in the differential diagnosis of acute inferior wall myocardial infarction[J].Intern Med,2007,46(3):795-799.
  • 9Kanei Y,Sharma J,Diwan R,et al.ST-segment depression in aVR as a predictor of culprit artery and infarct size in acute inferior wall ST-segment elevation myocardial infarction[J].J Electrocardiol,2010,43(1):132-135.
  • 10Torigoe K,Tamura A,Kawano Y,et al.Upright T waves in lead aVR are associated with cardiac or hospitalization for heart failure in patients with a prior myocardial Infarction[J].Psychiatey Investig,2011,8(2):279-281.

二级参考文献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吴素华,马虹,董吁钢,杜志民,何建桂,柳俊.aVR导联ST段抬高预测心肌梗死患者的预后[J].中华内科杂志,2006,45(8):671-672. 被引量：7
  • 3Williamson K,Mattu A,Plautz CU, et al. Electrocardiographic applications of lead aVR[J]. American Joumal of Emergency Medicine, 2006, 24(7) : 864-874.
  • 4Yamaji H. Iwasaki K, Kusachis T, et al. Prediction of actue left main coronary artery obstruction by 12-lead electrocardiograph. ST segment elevation in lead aVR with less ST segment elevation in lead VI[J] .J Am Coil Cardiol, 2001,38(5) : 1348-1354.
  • 5Kufisu S, Inoue I, Kawagoe T, et al. Electrocardiographic features in patients with acute myocardial infarction associated with left main coronary artery occlusion[J]. Heart ,2004,90(9) : 1059-1060.
  • 6Barrabes JA, Figueras J, Moure C, et al. Prognostic value of lead aVR in patients with a first non-ST-segment elevation acute myocardial infarction [J]. Circulation, 2003, 108(7) : 814-819.
  • 7Gorgels AP, Engelen DJ, Wellens HJ. Lead aVR, a mostly ignored but very valuable lead in clinical electrocardiography. J Am Coll Cardiol. 2001;38(5 ):1355-1361.
  • 8Gorgels AP, Engelen DJ, Wellens HJ. The electrocardiogram in acute myocardial infarction, in Fuster V, Alexander RW, O'Rourke RA, editor. Hurst's the Heart. lOth ed. New York, NY:McGraw-Hill. 2000:1361-1371.
  • 9Yamaji, Iwasaki K, Kusachis, 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.
  • 10Fellinger F, Voegtlin S, Diekele MC, Brechenmacher C, Voegtlin R. Electrocardiographic criteria of left ventricular hypertrophy and unipolar aVR lead. Ann Cardiol Angeiol (Paris). 1983;32 (4): 233-235.

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内科急危重症杂志
2013年 第5期

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