左回旋支闭塞致急性心肌梗死的临床诊治进展  

Progress in clinical diagnosis and treatment of acute myocardial infarction caused by circumflex artery occlusion

作　　者：赵曙辉(综述) 黄颖(审校)[1] ZHAO Shu-hui;HUANG Ying(Department of Cardiology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,CHINA)

机构地区：[1]重庆医科大学附属第一医院心血管内科,重庆400016

出　　处：《海南医学》2021年第7期913-916,共4页Hainan Medical Journal

摘　　要：急性心肌梗死的罪犯血管主要为前降支、左回旋支和右冠状动脉,单纯左回旋支闭塞常发生不典型的临床表现,容易漏诊和误诊。本文就左回旋支病变致急性心肌梗死的流行病学特征、临床表现、心电图改变、延迟再灌注治疗及预后做一综述。The main culprit artery of acute myocardial infarction(AMI)are generally classified as left anterior descending coronary artery(LAD),left circumflex coronary artery(LCX),and right coronary artery(RCA).Single occlusion of the LCX is uncommon and often presents atypical clinical manifestations,which may confuse the diagnosis.The epidemiological characteristics,clinical manifestations,atypical electrocardiogram changes,delayed reperfusion treatment factors and prognosis of AMI caused by LCX were reviewed here.

关 键 词：急性心肌梗死 罪犯血管 左回旋支 临床表现 心电图 再灌注治疗 预后 

分 类 号：R542.22[医药卫生—心血管疾病]