我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

急性下壁心肌梗死心电图ST段变化特点与梗死相关动脉及病变定位的关系(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2011年第5期
页码:
691-694
栏目:
综述
出版日期:
2011-10-25

文章信息/Info

Title:
-
作者:
刘晓辉1综述; 陶贵周2审校
1.辽宁医学院2009级硕士生，辽宁 锦州 121001；2.辽宁医学院第一附属医院心内科，辽宁 锦州 121001
Author(s):
-
关键词:
急性心肌梗死; 梗死相关动脉; 心电图
Keywords:
-
分类号:
R542.22
DOI:
-
文献标识码:
A
摘要:
心电图（ECG）在急性心肌梗死（AMI）的诊断中有着非常重要的价值，伴随着AMI患者冠状动脉介入治疗（PCI）的广泛应用，依据ECG在AMI急性期判断梗死相关动脉（IRA）也越来越精确。但因下壁心肌供血动脉不同，使得IRA的确定有一定的难度；而对IRA及病变具体定位的判断，对病情评估、PCI风险评估与治疗策略的选择均有非常重要的临床意义。因此，国内外对此进行了许多相关的研究，证实通过ECG不同导联ST段变化的特点，可对急性下壁心肌梗死(AIMI)的IRA及定位做出较准确的推断。本文就AIMI ECG ST段变化的特点与IRA及病变定位的关系做一综述。
Abstract:
-

参考文献/References

[1]许玉韵,胡大一.心电图与冠状动脉造影[J].北京:人民卫生出版社,2006:34,43-44.

[2]Naqvi MA,Ali M,Hakeem F,et al.Correlation of severity of ST segment elevation in acute inferior wall myocardial infarction with the proximity of right coronary artery disease[J].J Ayub Med Coll Abbottabad,2008, 20(4):82-85.

[3]Erdem A,Yilmaz MB,Yalta K,et al.The severity of ST segment elevation in acute inferior myocardial infarction:does it predict the presence of a proximal culprit lesion along the right coronary artery course?[J].Anadolu Kardiyol Derg,2007,7（Suppl 1）:189-190.

[4]Verouden NJ,Barwari K,Koch KT,et al.Distinguishing the right coronary artery from the left circumflex coronary artery as the infarct-related artery in patients undergoing primary percutaneous coronary intervention for acute inferior myocardial infarction[J].Europace,2009,11(11):1517-1521.

[5]Sun TW,Wang LX,Zhang YZ.The value of ECG lead aVR in the differential diagnosis of acute inferior wall myocardial infarction[J].Intern Med,2007,46(12):795-799.

[6]Kühl JT,Berg RM. Utility of lead aVR for identifying the culprit lesion in acute myocardial infarction[J].Ann Noninvasive Electrocardiol,2009,14(3):219-225.

[7]Kanei Y,Sharma J,Diwan R,et al.ST-segment depression in aVR as a predictor of culprit artery and infarct size in acute inferior wall ST-segment elevation myocardial infarction[J].J Electrocardiol,2010,43(2):132-135.

[8]Wong CK,Gao W,Stewart RA,et al.Hirulog and Early Reperfusion or Occlusion-2 Investigators. Prognostic value of lead V1 ST elevation during acute inferior myocardial nfarction[J].Circulation,2010,122(5):463-469.

[9]Wung SF.Discriminating between right coronary artery and circumflex artery occlusion by using a noninvasive 18-lead electrocardiogram[J].Am J Crit Care,2007,16(1):63-71.

[10]Styliadis I,Ziakas A,Karvounis H,et al.The utility of The standard 12-lead electrocardiogram in the prediction of proximal right coronary artery occlusion in acute inferior myocardial infarction[J].J Emerg Med,2008,35(1):67-72.

[11]Zhan ZQ,Wang W,Dang SY,et al. Electrocardiographic characteristics in angiographically documented occlusion of the dominant left circumflex artery with acute inferior myocardial infarction: limitations of ST elevation III/II ratio and ST deviation in lateral limb leads[J].J Electrocardiol,2009,42(5):432-439.

[12]Almansori M,Armstrong P,Fu Y,et al.Electrocardiographic identification of the culprit coronary artery in inferior wall ST elevation myocardial infarction[J].Can J Cardiol,2010,26(6):293-296.

[13]肖 军,唐发宽,王 龙.前壁导联ST段压低与急性下壁心肌梗死冠脉病变状况及预后的关系[J].心脏杂志,2007,19(3):318-319,325.

备注/Memo

备注/Memo:
收稿日期：2011-01-12.通讯作者：陶贵周，主任医师，主要从事冠心病的研究 Email:taog56789@hotmail.com 作者简介：刘晓辉，硕士生Email:liuxiaohui96@163.com
更新日期/Last Update: 2011-11-03