摘要55例首次发生急性心肌梗塞患者对应导联 ST 段压低者(Ⅰ组)31例,无对应导联 ST段压低者(Ⅱ组)24例。经对比观察发现,Ⅰ组 CPK、CK-MB 和 LDH 峰值均值明显高于Ⅱ组,差异有非常显著意义或显著意义。Ⅰ组低血压和严重心律失常的发生率也明显高于Ⅱ组,两者差异有显著意义。Ⅰ组心力衰竭发生率和病死率也高于Ⅱ组,但差异无显著意义(P>0.05)。以上结果提示,有对应导联 ST 段压低的急性心梗患者冠脉病变广泛,梗塞面积大,并发症多和病死率高。
1Ferguson DW,Pandian N,Kioschos JM et al.Angiographic evidence that reciprocal ST-segment depression during acute myocardial infarction does not indicate remote ischemia:Analysis of 23 patients. The American Journal of Cardiology . 1984 被引量：1
2Les AS,Weiss AT,Shan PK et al.Precordial ST Segment depression during acute inferior myocardial infarction:early thallium-201 scintigraphic evidence of adjacent posterolateral or inferoseptal involvement. Journal of the American College of Cardiology . 1985 被引量：1
3Sugiura T,Alpert JS.Precordial ST segment depression in O wave acute inferior myocardial infarction:The effect of pericarditis related with myocardial infarction. American Heart Journal . 1993 被引量：1
4MDMichael H. Crawford MDRobert A. O’Rourke and MDFrederick L. Grover.Mechanism of inferior electrocardiographic ST-segment depression during acute anterior myocardial infarction in a baboon model. The American Journal of Cardiology . 1984 被引量：1
5Tzironi D,et al.Reciprocal electrocardiographic changes in acute myocardial infarction. The American Journal of Cardiology . 1985 被引量：2
6Shah Pk,et al.Implications of precordial S-T Segment depression in acute inferior myocardial infarction. The American Journal of Cardiology . 1981 被引量：1
7John J. Edmunds MD,Raymond J. Gibbons MD John F. Bresnahan MD and Ian P. Clements MD.Significance of anterior ST depression in inferior wall acute myocardial infarction. The American Journal of Cardiology . 1994 被引量：1
