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15例心肌梗塞胸壁标测的初步报告

Precordial Mapping of 15 Cases of Myocardial Infarction

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【作者】 于世龙高浴

【Author】 Yu Shilong,Gao Yu Institute of Cardiovascular Diseases,Wuhan Medical College,Wuhan

【机构】 武汉医学院心血管疾病研究所武汉医学院心血管疾病研究所

【摘要】 <正> 心肌梗塞的严重程度由梗塞范围而定,测定梗塞范围与程度的方法目前有四种:①血清酶测定,②放射性同位素扫描,③左室造影或超声心动图检查心肌收缩的不均一性,④心电图胸壁标测《或称心前区标

【Abstract】 The results of serial precordial mapping in 13 patients with anterior myocardial infarction and 2 patients with inferior myocardial infarction and 15 normal subjects as control were reported.The value of the electrocardiographic mapping in assessing infarct size was studied.There was a high positive correlation between ∑ST and CPK(r=0.93,P<0.00l)and a moderate positive correlation between ∑Q and CPK(r=0.60,P<0.05)in acute anterior myocardial infarction.Thus ∑ST and ∑Q can be used as a measure to estimate infarct size.In patients with acute inferior myocardial infarction there was a significant positive correlation between ∑Q in leads Ⅱ Ⅲ aVF and CPK.In chronic myocardial infarction ∑Q may provide a useful electrocardiographic criterion to assess infarct size.

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