心电图ST段改变判断急性下壁心肌梗死患者梗死相关血管的意义Significance of ST-segment Elevation or Depression in Inferior Wall Acute Myocardial Infarction to Predict the Culprit Artery
温宇梅;郭金成;高国旺;张海滨;张正海;刘长虹;
摘要(Abstract):
目的探讨急性下壁心肌梗死时心电图ST段改变对心肌梗死梗死相关动血管(IRA)的判断价值。方法通过对84例急性下壁心肌梗死的患者的心电图Ⅰ、aVL、Ⅱ、Ⅲ、aVR、V5、V6导联ST段偏移进行分析,并与冠状动脉造影结果进行对比。结果 (1)IRA为右冠状动脉(RCA)68例,左冠状动脉回旋支(LCX)16例。(2)ST↑Ⅲ>ST↑Ⅱ提示IRA为RCA的敏感性是93%,特异性是94%,阳性预测值(PPV)是98%,阴性预测值(NPV)是79%;ST↑Ⅲ
关键词(KeyWords): 急性下壁心肌梗死;心电图;右冠状动脉;左冠状动脉回旋支
基金项目(Foundation):
作者(Author): 温宇梅;郭金成;高国旺;张海滨;张正海;刘长虹;
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DOI:
参考文献(References):
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