急性下壁心肌梗死胸前导联ST段下移的临床意义
Clinical implication of precordial ST segment depression in acute inferior myocardial infarction
摘要
目的 探讨下壁急性心肌梗死时胸前导联心电图前壁ST段下移的意义。方法 对60例急性下壁心肌梗死病人的早期心电图及入院后3周内冠状动脉造影和心肌酶检查结果对照分析。结果 胸前导联ST段下移者41例(68%),多支病变39例,单支病变2例,胸导联ST段无下移者19例,多支病变4例,单支病变15例(P<0.01),而且前者有较高的CK峰值(P<O.01)。结论 胸前导联ST段下移与多支血管病变有关,且有较大的梗死面积。
出处
《中国心血管杂志》
2001年第3期164-165,共2页
Chinese Journal of Cardiovascular Medicine
参考文献6
-
1Shah PK ,Pichler M,Berman DS, et al. Noninvasive identification of a high risk subset of patients with acute myocardial infarction.Am J Cardiol,1980,46,915-921.
-
2Goldberg HL, Borer JS,Jaeobstein JG, et al. Anterior S T segment depression in acute inferior myocardial infaretion; indicator of posterolateral jifarction, Am J Cardiol,1981,48:1009-1015.
-
3Salcedo JS,Baird MG, Chambers R J, et al. Significance of reciprocal S-T segment depression in anterior precordial fends ia acutinferior myocardioal infarction: Concomitant left anterior descending coronary artery disease? Am J Cardiol, 1981,48 : 1003-1008.
-
4Ruddy TD,Yasuda T ,Gold HK, et al, Anterior S-T segment depression as a marker of greater inferior apical, arid posterolateral damage. Am Heart J, 1986 : 112 : 1210-1216.
-
5Wong CK ,Freedman SB,Bautovich G ,et at. Mechanism and significance of preeordial ST segment depression during inferior wall acute myocardial infaretion associated with severe narrowittg of the dominant eight coronary artery. Am 1 Cardiol, 1993:1:1025-1030.
-
6Bates ER, Clemmensen PM,Calitt RM, et al, Precordial S-T segment depression predicts a worse prognosis despite reperfusion therapy, J Am Coll Cardiol,1990,16:1538-1540.
-
1田静文.急性下壁心肌梗塞患者胸前导联ST段下移与预后的关系[J].贵州医药,1996,20(2):78-79. 被引量：1
-
2谢江霞,许金诚.30例急性下壁心肌梗塞伴胸前导联ST段下移的临床分析[J].广东医学院学报,1996,14(4):336-337.
-
3赵慧萍.中老年急性心肌梗死胸前导联ST段下移的临床意义[J].实用心电学杂志,2003,12(2):143-144.
-
4牟春平,吴亚力,关月,杨军.老年人急性下壁心肌梗塞伴胸前导联ST段下移与PTFV_1的临床意义（摘要）[J].中国介入心脏病学杂志,1996,4(2):75-75.
-
5覃绍明,卢军.急性下壁心肌梗塞时胸前导联ST段下移对近期预后的影响[J].医学文选,1999,18(1):24-25.
-
6钟丽珍.急性下壁心肌梗死胸前导联ST段下移与预后关系的探讨[J].中国实用心电杂志,1998,19(4):212-212.
-
7袁宏.急性心肌梗死患者血清胱抑素C、同型半胱氨酸水平变化及其相关性[J].微循环学杂志,2012,22(1):57-58. 被引量：6
-
8周成刚,王归真.急性下壁心肌梗塞52例诊治分析[J].陕西医学杂志,1999,28(6):362-363.
-
9吴健,刘红兵.63例非典型急性下壁心肌梗死临床分析[J].现代生物医学进展,2011,11(16):3108-3110.
-
10葛小宁,王炳银,刘峰,程海.体表心电图对急性下壁心肌梗死患者梗死相关血管的预测价值研究[J].中国社区医师（医学专业）,2014,16(34):118-120. 被引量：2
