摘要
目的 观察心肌梗死（ＭＩ）后影响室壁瘤形成的因素以及临床常用方法的诊断价值。方法 经左心室造影证实的２３例ＭＩ后并发室壁瘤的患者，比较其心电图（ＥＣＧ）、超声心动图（ＥＣＨＯ）、冠状动脉病变程度和侧支循环建立情况。结果 所有患者均有前降支病变，三支病变者占６５．２％，仅１７．４％患者的侧支循环达到Ⅲ级。ＥＣＨＯ阳性者为１７．４％，而ＥＣＧ可达８２．６％。结论 多支病变且侧支循环不良的患者ＭＩ后易并发室壁瘤，ＥＣＧ较ＥＣＨＯ对室壁瘤的诊断更敏感。
Objective To study the factors effecting the formation of the ventricular aneurysm post myocardial infarction (MI) and evaluate the diagnostic methods.Methods 23 MI patients with ventricular aneurysm confirmed by left ventricular were observed for electrocardiogram (ECG), echocardiogram (ECHO), coronary disease and collateral vessels formation. Results All patients had LAD disease,65.2% patients had three coronary disease, and those with class Ⅲ collateral vessels circulation only 17.4%.Compared to ECHO by which only 4 patients were found aneurysm,the positive rate by ECG was 82.6%. Conclusion Patients with multiple coronary disease and without enough collateral vessels are expected to form ventricular aneurysm. ECG is more sensitive than ECHO for diagnosis of ventricular aneurysm post MI.
出处
《中国介入心脏病学杂志》
2001年第2期61-63,共3页
Chinese Journal of Interventional Cardiology
