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急性心肌梗死时心电图对应导联ST段压低的临床意义 被引量:2

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摘要 急性ST段抬高型心肌梗死(STEMI)时心电图常出现对应导联ST段压低(ST-segmentdepression,STD),文献报道这种STD的发生率为25%-65%。非梗死区STD与STEMI时镜像改变或缺血相关,可以协助判断梗死相关血管或闭塞部位,并对预后产生影响。心电图出现急性ST段抬高(STE)的患者中90%经心肌酶学等的证实为急性心肌梗死;若出现对应导联STD,则诊断急性心肌梗死的特异性达93%。对这一常见的心电图现象,其临床意义逐渐受到人们的重视。
出处 《柳州医学》 2007年第1期30-32,共3页
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参考文献10

  • 1Gibson CM,Chen M,Angeja BG,et al.Precordial ST-segment depression in inferior myocardial infarction is associated with slow flow in the non-culprit left anterior descending artery[].Journal of Thrombosis and Thrombolysis.2002 被引量:1
  • 2Chan AW,Solankhi N,Webb JG,et al.Correlation of remote ST segment depression and coronary anatomy during acute coronary occlusion[].Canadian Journal of Cardiology.2001 被引量:1
  • 3Vasudevan K,Manjunath CN,Srinivas KH,et al.Electrocardiographic localization of the occlusion site in left anterior descending coronary artery in acuteanterior myocardial infarction[].Indian Heart Journal.2004 被引量:1
  • 4De Luca G,Maas AC,Van‘t Hof AW,et al.Impactof ST-segment depression resolution on mortality after successful mechanical reperfusion in patients with ST-segment elevation acute myocardial infarction[].The American Journal of Cardiology.2005 被引量:1
  • 5Kosuge M,Kimura K,Ishikawa T,et al.ST-segment depression in lead aVR:a useful predictor of impaired myocardial reperfusion in patients with inferior acute myocardial infarction[].Chest.2005 被引量:1
  • 6Kosuge M,Kimura K,Ishikawa T,et al.ST-segment depression in lead aVR predicts predischarge left ventricular dysfunction in patients with reperfused anterior acute myocardial infarction with anterolateral ST-segment elevation[].American Heart Journal.2001 被引量:1
  • 7Senaratne MP,Weerasinghe C,Smith G,et al.Clinical utility of ST-segment depression in lead AVR in acute myocardial infarction[].Journal of Electrocardiology.2003 被引量:1
  • 8Birnbaum Y,Wagner G,Galen S,et al.Correlation of angiographic findings and right(V1to V3)versus left(V4to V6)precordial ST-segment depression in inferior wall acute myocardial infarction[].The American Journal of Cardiology.1999 被引量:1
  • 9Brady WJ,Perron AD,Syverud SA,et al.Reciprocal ST segment depression:impact on the electrocardiographic diagnosis of ST segment elevation acute myocardial infarction[].American Journal of Emergency Medicine.2002 被引量:1
  • 10Celik S,Yilmaz R,Baykan M,et al.Are reciprocal changes a consequence of″ischemia at a distance″or merely a benign electrical phenomenone A pulsed-wave tissue Doppler echocardiographic study[].Ann Noninvasive Electrocardiol.2003 被引量:1

同被引文献18

  • 1Sasaki K, Y otsukura M, Sakata K, et al. Relation of ST-Segment Changes in Inferior Leads During Anterior Wall Acute Myocardial Infarction to Length and Occlusion Site of the Left Anterior De- seending[J]. A m J Cardiol, 2001, 87 (12) : 1340-1345. 被引量:1
  • 2Bimbaum Y, Wagner G, Galen S, et al. Correlation of Angio- graphic Findings and Right (V1 to V3) Versus Left (V 4 toV 6) Preeordial ST-Segment Depression in Inferior Wall Aeute Myoear- diallnfaretion [J]. Am J Cardiol, 1999, 83 (1): 143-148. 被引量:1
  • 3第一届全国内科学术会议心血管专业组.关于冠状动脉病命名及诊断标准的建议.中华内科杂志,1981,20(4):253-255. 被引量:2
  • 4Tjandrawidjaja MC,Fu Y,Westerhout CM,et al.Resolution of ST-segment depression:A new prognostic marker in ST-segment elevation myocardial infarction[J].Eur Heart J,2010,31(5):573-581. 被引量:1
  • 5Sasaki K,Y otsukura M,Sakata K,et al.Relation of ST-segment changes in inferior leads during anterior wall acute myocardial infarction to length and occlusion site of the left anterior descending[J].Am J Cardiol,2013,87(12):1340-1345. 被引量:1
  • 6Birnbaum Y,Wagner G,Galen S,et al.Correlation of angiographic findings and right(V1 to V3)versus left(V4 to V6)precordial ST-segment depression in inferior wall acute myocardial infarction[J].Am J Cardiol,2010,83(1):143-148. 被引量:1
  • 7Rich MW,Bosner MS,Chung MK,et al.Is age an independent predictor of early and late mortality in patients with acute myocardial infarction[J].Am J Med,2010,92(1):7-13. 被引量:1
  • 8Brady WJ,Perron AD,Syverud SA,et al.Reciprocal ST segment depression:impact on the electrocardiographic diagnosis of ST segment elevation acute myocardial infarction[J].Am J Emerg Med,2013,20(1):35-38. 被引量:1
  • 9Chan AW,Solankhi N,Webb JG,et al.Correlation of remote ST segment depression and coronary anatomy during acute coronary occlusion[J].Can J Cardiol,2011,17(3):282-290. 被引量:1
  • 10Hayashi T,Hirano Y,Takai H,et al.Usefulness of st-segment elevation in the inferior leads in dicting ventricular septal rupture in patients with anterior wall acute myocardial infarction[J].Am J Cardiol,2011,96(8):1037-1041. 被引量:1

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