右室支闭塞致胸前导联ST段异常抬高1例  

A case of precordial ST-segment elevation induced by right ventricular branch occlusion

作　　者：郎明健[1] 周心涛[1] 陈继舜[1] 何培根[1] 

机构地区：[1]湖北医药学院附属东风医院心内科,湖北十堰442008

出　　处：《临床心血管病杂志》2017年第5期493-495,共3页Journal of Clinical Cardiology

摘　　要：1病例资料患者,男,42岁。主因＂劳力性胸闷气促半年＂入院。既往有10余年高血压史、血脂异常史及长期大量吸烟史。入院体检生命征平稳,血压180/110mmHg（1mmHg=0.133kPa）,心肺腹体征未见明显异常。入院辅助检查,心电图未见明显异常;心脏超声多普勒显示心脏形态结构未见异常,左室舒张功能减低,收缩功能测值正常。A middle-aged male with severe stenosis in right coronary artery presented precordial ST-segment elevation in the process of percutaneous coronary intervention（PCI）. Analyzing the PCI procedure, we found that this ST-segment elevation was induced by the right ventricular branch occlusion. By searching and reviewing relevant literature, we concluded that this was a rare and specific electrophysiology phenomena caused by PCI procedure.

关 键 词：右室支 胸导联 ST段抬高 经皮冠脉介入治疗 

分 类 号：R541.4[医药卫生—心血管疾病]