急性下壁心肌梗塞发生左前分支阻滞的意义  

Significance of left anterior hemiblock development in inferior acute myocardial infarction

作　　者：吕秀章[1] 张洁[1] 葛力[1] 

机构地区：[1]北京医院心内科,北京100730

出　　处：《中国心血管杂志》1998年第6期408-409,共2页Chinese Journal of Cardiovascular Medicine

摘　　要：为探讨急性下壁心肌梗塞发生左前分支阻滞的意义,根据心电图把52例首次急性下壁心肌梗塞的病人分成发生左前分支阻滞组(A组)和未发生左前分支阻滞组(B组),并对两组的临床资料及冠脉造影结果对照分析.结果发现17.3%的急性下壁心肌梗塞病人发生左前分支阻滞,两组的临床特点及冠脉造影结果无显著性差异.提示在急性下壁心肌梗塞发生左前分支阻滞不能作为前降支病变及多支血管病变的标志.52 patients with the first inferior acute myocardial infarction (AMI) were divided into 2 groups according to elec-trocardiographic criteria: with left anterior hemiblock(LAH) and without LAH, and the clinical characteristics and angio-graphic findings of the 2 groups were compared.The results showed that 9 patients(17.4% ) with inferior AMI developed LAH, and the clinical characterstics and angiographic findings of the 2 groups were no significance. In conclusion, the development of LAH during inferior AMI is not a sign of significant stenosis in the left anterior descending coronary artery and multivessel coronary artery disease.

关 键 词：左前分支阻滞 心肌梗塞 睛壁 冠状动脉病变 

分 类 号：R542.220.6[医药卫生—心血管疾病] R541.76[医药卫生—内科学]