酷似急性前壁心肌梗死的右心室缺血
Right ventricular ischemia mimicking acute anterior myocardial infarction.
作者信息
Saw J, Amin H, Kiess M
机构信息
St Paul's Hospital, Vancouver, Canada.
出版信息
Can J Cardiol. 1999 Oct;15(10):1143-6.
PMID:10523482
Abstract
Isolated right ventricular ischemia in combination with myocardial infarction (MI) is uncommon, accounting for fewer than 3% of all MI cases. A young man who presented with acute right ventricular ischemia from occlusion of a codominant right coronary artery proximal to an acute marginal branch is presented. His presenting electrocardiogram (ECG) showed ST segment elevation in V1 to V4 mimicking acute anterior MI. ECG criteria for isolated right ventricular ischemia are discussed.
摘要
孤立性右心室缺血合并心肌梗死（MI）并不常见，占所有MI病例的比例不到3%。本文介绍了一名年轻男性，他因急性边缘支近端的优势右冠状动脉闭塞而出现急性右心室缺血。他的初始心电图（ECG）显示V1至V4导联ST段抬高，类似急性前壁心肌梗死。文中讨论了孤立性右心室缺血的心电图诊断标准。
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