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不典型心绞痛动态心电图40例观察

DYNAMIC ELECTROCARDIOGRAPHY OF FORTY PATIENTS WITH NON-TYPICAL ANGINA
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摘要 对临床证实的冠心病40例进行了动态心电监护,结果表明所有患者均出现ST段压低、部分有ST段平直延长和ST段抬高,同时有T波低平/倒置,U波倒置;ST-T改变时可伴有心律失常,包括室早,房早及室速。发生上述变化时均不伴典型心绞痛。本文探讨了上述结果的机理及其临床意义。 Forty patients with coronary heart disease proved by clinical manifesta-tions were monitored with dynamic electrocardiography (DCG). The results showed that all the patients had the S-T segment depression. The horizontal S-T segment lengthening and the S-T segme t elevation developed in some patients. There also were horizontal/inverted T waves and U wave inverted. The arrhythmias could be observed while the changes in S-T segment and X wave occurred, including ventricular premature beats, atrial premature beats and atrial tachycardia. The changes described were not associated with the typical angina. The mechanism and their clinical implications will be discussed.
出处 《蚌埠医学院学报》 CAS 1992年第3期188-190,共3页 Journal of Bengbu Medical College
关键词 心绞痛 动态心电图 non-typical angina dynamic electrocardiography
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参考文献1

  • 1谢振伦等编著..动态心电图学[M].北京:人民军医出版社,1986:178.

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