引用本文:郑晓群,周旭晨,曲新凯,朱 皓,刘 俊.多部位急性ST段抬高型心肌梗死的心电图与冠状动脉造影的对比分析[J].大连医科大学学报,2007,29(1):39-40.
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多部位急性ST段抬高型心肌梗死的心电图与冠状动脉造影的对比分析
郑晓群1, 周旭晨2, 曲新凯2, 朱 皓2, 刘 俊2
1.长春市中心医院 心内科,吉林 长春 130051;2.大连医科大学 第一临床学院 心内科,辽宁 大连 116011
摘要:
[目的]探讨多部位急性ST段抬高型心肌梗死(STEMI)的体表心电图定位及其冠脉病变的特征。[方法]分析12例多部位急性STEMI患者的心电图特征及急诊冠脉造影结果,并加以对照比较。[结果]根据心电图判断IRA的准确性为100%,多部位急性STEMI患者的多支冠脉病变占83%。[结论]体表心电图可以准确判定IRA,多部位急性STEMI患者冠脉病变较为弥漫。
关键词:  心电图  急性ST段抬高型心肌梗死  冠状动脉  梗死相关动脉
DOI:10.11724/jdmu.2007.01.13
分类号:R541
基金项目:
Comparative analyses of ECG and coronary angiography of acute ST elevation myocardial infarction of multiple location
Xiao-qun1, ZHOU Xu-chen2, QU Xin-kai2, ZHU Hao2, LIU Jun2
1.Department of Cardiology, Changchun Central Hospital, Changchun 130051, China;2.Department of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Abstract:
[Objective]To discuss the ECG manifestations which related to anatomy of infarct-related artery (IRA) and coronary angiographic characteristics of acute ST elevation myocardial infarction (STEMI) of multiple location.[Methods]Analyses the ECG features and coronary angiographic results of 12 cases of acute STEMI of multiple location. [Results]The predictive accuracy of IRA by ECG was 100%, there were 83% multiple coronary diseases in which the patients had acute STEMI of multiple location. [Conclusions]The anatomical data of IRA can be acquired accurately by analyzing ECG, the coronary lesions of acute STEMI of multiple location were more extensive and severe.
Key words:  ECG  acute myocardial infarction  coronary artery  infarct-related artery