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心电图对急性下壁心肌梗死致病血管的诊断价值

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目的分析心电图对急性下壁心肌梗死致病血管的诊断价值。方法选取2008年1月-2012年2月我院心肌梗死患者40例,分别行心电图检查和冠状动脉造影检查。结果心电图表现为ST段出现抬高,Ⅲ大于Ⅱ时,诊断右冠状动脉狭窄的敏感性为89.28%(25/28),特异性为85.71%(18/21);当心电图表现ST段出现压低avL大于I时,诊断右冠状动脉狭窄的敏感性为90.32%(28/31),特异性为85.71%(18/21);当心电图表现V1-2ST段没有压低时,诊断右冠状动脉狭窄的敏感性为87.88%(29/33),特异性为73.68%(14/19)。结论心电图可有效提示急性下壁心肌梗死致病相关血管。
Diagnostic value of the Electrocardiogram on Acute Inferior Myocardial Infarction Induced Angiosis
Objective To analyze the diagnostic value of electrocardiogram on acute inferior myocardial infarction induced angiosis. Methods 40 cases of myocardial infarction patients who were admitted into our hospital from Jan. 2008 to Feb. 2012 were selected and performed the ECG and CAG inspection. Results When the ST segment of ECG was increased(Ⅲ>Ⅱ), the sensitivity of right coronary artery stenosis was 89.28%, while the specificity was 85.71%. On the contrary, When the ST segment decreased(avL>I), the sensitivity was 90.32%, the specificity was 85.74%. When the V1-2ST segment was not decreased, the sensitivity was 85.29%, the specificity was 73.68%. Conclusion The ECG can efficiently indicate the acute inferior myocardial infarction induced angiosis.

Inferior Myocardial infarctionInfarction ArteryECG

唐晓黎

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225300 江苏省泰州市人民医院心电图室

下壁心肌梗死 梗死血管 心电图

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(19)
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