期刊文献+

体表心电图预测梗死相关血管的意义 被引量:22

在线阅读 下载PDF
导出
摘要 通过体表心电图可以定位梗死相关血管。左主干闭塞表现为aVR导联ST段抬高和Ⅰ、Ⅱ、V4至V6导联ST段下移 ,下移≥ 18mm诊断左主干病变的敏感性高。V2 导联ST段抬高对判断前降支闭塞最敏感 ,其次为V3 ~V5、aVL、V1和V6导联。前降支近段闭塞还可以表现为aVL导联ST段抬高 ,下壁导联ST段下移。右冠状动脉或回旋支闭塞都可以表现为Ⅱ、Ⅲ和aVF导联ST段抬高 ,但是前者伴有aVL导联ST段下移 。
出处 《中国心脏起搏与心电生理杂志》 2002年第2期150-153,共4页 Chinese Journal of Cardiac Pacing and Electrophysiology
  • 相关文献

参考文献33

  • 1[1]Sgarbossa EB,Birnbaum Y,Parrillo JE.Electrocardiographic diagnosis of acute myocardial infarction:current concepts for the clinician[J].Am Heart J,2001,141:507
  • 2[2]Gorgels APM,Vos MA,Mulleneers R,et a1.Value of the electrocardiogram in diagnosing the number of severely narrowed coronary arteries in rest angina pectoris[J].Am J Cardiol,1993,72:999
  • 3[3]Yamaji H,Iwasaki K,Kusachi S,et al.Prediction of acute left main coronary artery obstruction by 12-lead electrocardiography:ST-segment elevation in lead aVR with less ST-segment elevation in lead V1[J].J Am Coll Cardiol,2001,38:1348
  • 4[4]Gorgels APM,Engelen DJM,Wellens HJJ.Lead aVR,a mostly ignored but very valuable lead in clinical electrocardiography[J].J Am Coll Cardiol,2001,38:1355
  • 5[5]Birshaum Y,Sclarovsky S,Soiodky A,et a1.Prediction of the level of left anterior descending coronary artery obstruction during anterior wall acute myocardial infarction by the admission electrocardiogram[J].Am J Cardiol,1993,72:823
  • 6[6]Tamura A,Katooka H,Mikuriya Y,et al.Inferior ST-segment depression as a useful marker for identifying proximal left anterior descending coronary artery occlusion during acute myocardial infarction[J].Eur Heart J,1995,16:1795
  • 7[7]Yotsukura M,Toyafuku M,Tajino K,et al.Clinical significance of the disappearance of septal Q waves after the onset of myocardial infarction:correlation with location of responsible coronary lesions[J].J Electrocardiol,1999,32:15
  • 8[8]Engelen DJ,Gorgels AP,Cheriex EC,et al.Value of the electrocardiogram in localizing the occlusion site in the left anterior descending coronary artery in acute myocardial infarction[J].J Am Coll Cardiol,1999,34:389
  • 9[9]Ben-Gal T,Sclarovsky S,Herz I,et al.Importance of the conal branch of the right coronary artery in patients with acute anterior wall myocardial infarction:electrocardiographic and angiographic correlation[J].J Am Coll Cardiol,1997,29:506
  • 10[10]Kim TY,Alturk N,Shaikh N,et al.An electrocardiographic algorithm for the prediction of the culprit lesion site in acute anterior myocardial infarction[J].Clin Cardiol,1999,22:77

同被引文献122

引证文献22

二级引证文献61

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部