非急性心肌梗死性ST段抬高

ST segment elevation in non acute myocardial infarction

因冠状动脉急性闭塞导致的急性心肌梗死常出现ST段抬高,大量循证医学证明再灌注时间是决定这类患者预后的重要因素,目前指南要求接触患者的医务人员需在十分钟之内决定是否需要进行再灌注治疗,主要依据胸痛的临床表现和心电图出现ST段抬高作出判断。

Acute myocardial infarction resulting from an occlusive thrombus is recognized as an electrocardiogram by ST segment elevation.Early reperfusion therapy has proved beneficial in such infarctions.The earlier the reperfusion,the greater the benefit.It is important to remember that acute infarction is not the only cause of STsegment elevation.The purpose of this review is to describe other conditions and emphasize the electrocardiographic clues that can be used to differentiate them from true infarction.