早期复极综合征的心电图变化特点及鉴别诊断  

EARLY REPOLARIZATION SYNDROME FEATURES AND DIFFERENTIAL DIAGNOSIS OF ECG CHANGES

作　　者：刘佳炎 

机构地区：[1]广东省乐昌市第一人民医院心电图室,512200

出　　处：《中国实用医药》2012年第23期45-46,共2页China Practical Medicine

摘　　要：目的分析早期复极综合征(ERS)的心电图变化特点,探讨其临床意义及鉴别诊断。方法对80例ERS的心电图及临床资料进行回顾分析。结果 ERS以男性多见(85%)。ST抬高及高耸T波改变以V3-V5导联最为明显,大多伴J波,ST-T改变较恒定,运动试验可使ST段暂时回落至基线。结论 ERS是以J波和ST-T改变为主要表现的心电图综合征,但易与有类似心电图表现的器质性心脏病相混淆。Objective To analyze the early repolarization syndrome（ERS） of the characteristic ECG changes.Its clinical significance and differential diagnosis.Methods 80 cases of ERS’s ECG and clinical data were retrospectively analyzed.ERS results to male patients（85%）.ST elevation and tall T wave changes in leads V3-V5 the most obvious,most of them with J wave,ST-T changes relatively constant,exercise testing can temporarily dropped to the baseline ST segment.Conclusion ERS is J wave and ST-T changes in ECG syndrome as the main performance,but easy with a similar ECG confused with organic heart disease.Results ERS is a biological variation of the ECG,the majority of asymptomatic,part of the performance of chest pain,chest tightness,heart palpitations based,while the ECG showed ST-segment elevation,T wave tall,exactly like the ultra-acute myocardial infarction,variant angina and structural heart disease such as acute pericarditis,graphics,often clinically misdiagnosed. To explore the differential diagnosis,now admitted to our hospital in the past few years 80 cases of ERS analyzed.

关 键 词：早期复极综合征 心电图变化 运动试验 鉴别诊断 

分 类 号：R541.7[医药卫生—心血管疾病]