摘要
对１２０例急性下壁心肌梗塞进行了临床分析。结果表明急性下壁心肌梗塞时以右冠状动脉病变为主（３０／３５，８８．６％），合并右室梗塞时多为右冠状动脉近端病变。急性下壁心肌梗塞合并胸前常规导联ＳＴ段抬高组以累及右室者为多（４２．９％，１２／２８），而合并胸前导联ＳＴ段压低者则以累及后侧壁为多（５４．９％，２８／５１）。结果提示右室梗塞合并邻近部位梗塞者预后不良。
Characteristics of acute inferior wall myocardial infarction were analysed in 120 patients.The results showed that the diseased right coronary artery related highly to the acute inferior myocardial infarction,while the proximal lesion of right coronary artery related highly to the right ventricular involvement.In term of the electrocardiographic features, the case with anterior ST segment elevation frequently associated with right ventricular infarction (42.9%,12/28)and that with anterior ST segment depression frequently with lateral posterior wall infarction (54.9%,28/51).The results also showed that cases with right ventricular and/or lateral posterior wall infarction were apt to have a worse prognosis.
出处
《首都医科大学学报》
CAS
1997年第1期64-67,共4页
Journal of Capital Medical University
关键词
心肌梗塞
心电图
冠状动脉造影
myocardial infarction
electrocardiography
coronary angiography
