严重冠脉病变的心电图分析  

Electrocardiogram analysis in the patients with serious coronary artery disease

作　　者：刘戎[1] 邵波[1] 孟祥飞[1] 刘广安[1] 

机构地区：[1]苏州九龙医院,215021

出　　处：《临床心电学杂志》2008年第5期357-358,共2页Journal of Clinical Electrocardiology

摘　　要：目的分析左主干、前降支近端或三支病变冠心病心绞痛患者的心电图改变。方法13例冠脉造影诊断为左主干、前降支近端或三支病变的患者,对其静息时、心绞痛发作时心电图有无aVR、V1导联的ST段抬高及临床资料进行分析。结果胸痛发作时11例出现了aVR、V1导联典型改变,静息时2例aVR、V1导联改变。结论心电图aVR、V1导联ST段抬高,尤其STaVR>STV1,V4～V6导联ST段下移,合并Ⅱ、Ⅲ、aVF导联或Ⅰ、Ⅱ导联ST段下移与冠脉左主干、前降支近端严重狭窄及三支病变有良好的相关性。Objective To analyze ECG changes in the patient with left main coronary artery and/or proximal left anterior descending coronary artery and 3-vessel disease. Methods 13 patients with proved coronary disease were enrolled in this study. The elevation amplitude of ST segment in aVR and V1 lead were analyzed when the patients were resting and during chest pain. Results The typical changes in aVR and V1 lead can be seen in 11 patients during chest pain and in 2 patients when they were resting. Conclusion The ST segment elevation in aVR and V1 lead, especially in aVR lead, ST segment depress in V4-V6 and Ⅱ,Ⅲ,aVF or Ⅰ,Ⅱ leads had good correlation with severe stenosis at left main coronary artery, proximal left anterior descending coronary artery and 3-vessel disease.

关 键 词：冠心病 心电图 

分 类 号：R543[医药卫生—心血管疾病]