急性前壁心肌梗死下壁导联ST段压低的临床价值  

Clinical value of inferior ST segment depression in acute transmural anterior myocardial infarction

作　　者：罗海明[1] 张昀昀[1] 王肖龙[1] 杭靖宇[1] 薛小培[1] 张卫星[1] 梁瑞廉[1] 

机构地区：[1]上海市第六人民医院心内科,200233

出　　处：《心电学杂志》2001年第1期17-18,49,共3页Journal of Electrocardiology(China)

摘　　要：目的探讨急性前壁透壁性心肌梗死时下壁导联ST段压低的临床价值。方法比较任一下壁导联ST段压低≥1.0mm的17例与压低均<1.0mm的16例的CK_MB值、超声心动描记术、冠状动脉造影等结果。结果前组CK_MB值更高 ,射血分数减低更显著 ,左室收缩与舒张末期容积更大 ,造影术示致梗死狭窄病变多位于左前降支近端或呈多支病变。结论急性前壁心肌梗死下壁导联ST段压低≥1.0mm时 ,其梗死面积较大 。Objective This study evaluated clinical value of inferior ST segment depression in acute transmural anterior myocardial infarction.Methods Severteen cases with most pronounced ST segment depression≥1.0 mm in any inferior lead were compared with 16 cases with maximally depressed ST segment<1.0 mm in all inferior ST segments by CK _ MB value,echocardiography,coronary arteriography.Results Former showed higher CK _ MB value,lower left ventricular ejection fraction and larger left ventricular endsystolic and end diastolic volume,culprit occlusions on proximal segment of left anterior descending branch and multibranch lesions existing on coronary arteriography.Conclusion In patients with acute transmural anterior myocardial infarction inferior ST segment depression≥1.0 mm predicted larger infarct size,then more severe left ventricular dysfunction and left ventricular remodelling occur.

关 键 词：急性心肌梗塞 心电图 左心室重构 心脏事件 

分 类 号：R542.22[医药卫生—心血管疾病] R540.41[医药卫生—内科学]