急性下壁合并右室心肌梗塞患者常规12导联心电图分析  

Analysis of Standard 12-lead ECG in Acute myocardial infarction of inferior wall and right ventricle

作　　者：朱世祥[1] 

机构地区：[1]江苏省如皋市人民医院,江苏如皋226500

出　　处：《河北医学》2000年第5期418-420,共3页Hebei Medicine

摘　　要：目的与方法 :回顾性分析 19例急性下壁合并右室心肌梗塞患者心电图特征 ,并与 42例单纯急性下壁心肌梗塞 (下壁梗塞 )患者心电图进行对比。结果与结论 :两组患者心电图 ST段抬高幅度 > (ST↑ > )检出率 ,及 V2 导联 ST段压低与 a VF导联 ST段抬高比值 (ST V2 ↓ / a VF↑ )≤ 0 .5检出率均有显著性差异 (均为 P<0 .0 1)。因此 ,下壁梗塞患者常规 12导联心电图如出现 ST↑ > 及 ST V2 ↓ / a VF↑≤ 0 .5均应注意是否合并有急性右室心肌梗塞 (右室梗塞 )Objective and method: The ECGs characters of 19 cases with acute myocardial infarction of inferior wall and right ventricle were analyzed (respectively).We (contrast) it to 42 cases with pured acute myocardial infarction of inferior wallResult and Conclusion:We found that there was significant difference in detectable rate of ECG Ⅲ leads ST ↑>Ⅱleads ST↑ and ECG V 2 leads ST ↓/aVF leads ST↑≤0.5 between the two groups.(P≤0.01) So,if there comes ST ↑ Ⅲ>Ⅱ and ST V 2↓/aVF↑≤0.5 in standard 12 lead ECG in the patient who has acute myocardial infarction of inferior wall,we must notice that whether he has right ventricular myocardial infarction at the same time.

关 键 词：急性心肌梗塞 心电图描记术 下壁 右心室 

分 类 号：R542.22[医药卫生—心血管疾病]