体表心电图预测梗死相关血管的意义

被引：20

作者：

颜红兵

李洪

机构：

[1] 卫生部中日友好医院心内科

[2] 卫生部中日友好医院心内科北京

[3] 北京

来源：

中国心脏起搏与心电生理杂志 | 2002年 / 02期

关键词：

体表心电图; 急性心肌梗死; 梗死相关血管;

D O I：

10.13333/j.cnki.cjcpe.2002.02.025

中图分类号：

R542.22 [];

学科分类号：

1002 ; 100201 ;

摘要：

通过体表心电图可以定位梗死相关血管。左主干闭塞表现为aVR导联ST段抬高和Ⅰ、Ⅱ、V4至V6导联ST段下移 ,下移≥ 18mm诊断左主干病变的敏感性高。V2 导联ST段抬高对判断前降支闭塞最敏感 ,其次为V3 ～V5、aVL、V1和V6导联。前降支近段闭塞还可以表现为aVL导联ST段抬高 ,下壁导联ST段下移。右冠状动脉或回旋支闭塞都可以表现为Ⅱ、Ⅲ和aVF导联ST段抬高 ,但是前者伴有aVL导联ST段下移 ,后者则否并且可以伴心前导联ST段下移

引用

页码：75 / 78

页数：4

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