以aVR抬高的急性左主干闭塞2例临床分析  

ST-segment elevation in aVR due to acute left main occlusion:2 cases report

作　　者：江明宏[1] 黄雄[1] 曹雪滨[1] 

机构地区：[1]解放军252医院心内科,河北保定071000

出　　处：《临床心血管病杂志》2015年第5期578-580,共3页Journal of Clinical Cardiology

摘　　要：1病例资料患者1,男,62岁,主因持续性胸痛2h,伴晕厥1次入院。体检：血压105/73 mmHg（1 mmHg=0.133kPa）,神清,四肢湿冷,双肺呼吸音清,双肺未闻及干湿性啰音,心率106次/min,律齐,心音低钝,各瓣膜听诊区未闻及杂音;心电图提示：窦性心律,V1～V6 ST段抬高0.3～0.5 mV,aVR ST段抬高0.1～0.2mV;心肌酶谱测定：门冬氨酸氨基转移酶97U／L，乳酸脱氢酶281U／L，磷酸肌酸激酶801U／L，肌酸激酶同功酶145U／L。Summary Left main coronary artery lesion is a special type of coronary artery lesions. The main coronary artery supply the whole left heart and the consequences will be very serious once the artery stenosis or occlusion developed. The treatment strategy is always the hot spot of the discussion. In this paper, two cases with ST-segment elevation in AVR due to acute left main occlusion were reported.

关 键 词：急性心肌梗死 左主干 冠状动脉造影术 

分 类 号：R542.2[医药卫生—心血管疾病]