WPW征掩盖前间壁急性心肌梗死及LAFB心电图1例  

One case of acute myocardial infarction and LAFB electrocardiogram masked by WPW sign

作　　者：李兴杰[1] 张小影 LI Xingjie;ZHANG Xiaoying(Department of ECG Room,Jining First People's Hospital,Jining,Shandong,272011,China;Department of ECG Room,Jiaxiang County Jintun Center Health Center)

机构地区：[1]济宁市第一人民医院心电图室,山东济宁272011 [2]嘉祥县金屯中心卫生院心电图室

出　　处：《临床心血管病杂志》2020年第6期587-588,共2页Journal of Clinical Cardiology

摘　　要：1病例资料患者,女,70岁。因阵发性胸痛3d,症状加重伴呕血10h于2016年2月13日4:21入院。入院前曾于当地医院嚼服阿司匹林肠溶片300 mg。2016年2月13日化验检查:pH 7.25,PO266mmHg(1 mmHg=0.133kPa),PCO228 mmHg,BE1.3mmol/L,K+3mmol/L,Na+139mmol/L,Hb156g/L,GLU 7.4 mmol/L,Lac 1.3 mmol/L。2016年2月12/13/14日心肌梗死(MI)3项检查。A case of WPW sign with acute anterior interfacial wall myocardial infarction(AMI) and left anterior fascicular block(LAFB) was reported.When WPW sign was present,both the sign of anterior interfacial wall AMI and LAFB were covered.The transient disappearance of WPW in short atrial tachycardia was demonstrated by both WPW and LAFB.

关 键 词：WPW征 急性心肌梗死 左前分支传导阻滞 心电图 房性心动过速 

分 类 号：R542.2[医药卫生—心血管疾病]