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急性下壁心肌梗死时确定发病血管的心电图新标准———Ⅱ/Ⅲ导联的T波波幅比率和右V5导联的T波极性

New electrocardiographic criteria for identifying the culprit artery in inferior wall acute myocardial infarctionusefulness of T-wave amplitude ratio in leads Ⅱ/Ⅲand T-wave polarity in the right V5 lead
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摘要 ST-segment elevations in the right ventricular lead and those greater in lead Ⅲthan in lead Ⅱstrongly suggest that right, rather than left circumflex, coronary arterial occlusion occurs in acute myocardial infarction in the inferior wall. Our study demonstrated that, in the very early stages of infarction, a T wave amplitude that is greater in lead Ⅲthan in lead Ⅱand an upright or positive biphasic T wave in lead V5R are just as predictive as ST-segment changes and are often easier to measure. ST-segment elevations in the right ventricular lead and those greater in lead Ⅲthan in lead Ⅱstrongly suggest that right, rather than left circumflex, coronary arterial occlusion occurs in acute myocardial infarction in the inferior wall. Our study demonstrated that, in the very early stages of infarction, a T wave amplitude that is greater in lead Ⅲthan in lead Ⅱand an upright or positive biphasic T wave in lead V5R are just as predictive as ST-segment changes and are often easier to measure.
作者 郝广华
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