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[ST段抬高患者早期复极综合征的鉴别诊断:5例报告]

[Differential diagnosis of early repolarization syndrome in patients with ST-segment elevation: report of 5 cases].

作者信息

Guo Zhi-Gang, Peng Jian, Meng Su-Rong, Wang Peng

机构信息

Department of Cardiovascular Diseases, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.

出版信息

Di Yi Jun Yi Da Xue Xue Bao. 2002 Nov;22(11):1033.

PMID:12433642
Abstract

OBJECTIVE

To explore the differential diagnosis of early repolarization syndrome (ERS) in patients with ST-segment elevation and its clinical significance.

METHODS

Five patients with ESR were clinically observed and followed up after discharge from hospital.

RESULTS

All the patients complained of chest distress or chest pain, accompanied by ST-segment elevation in the precordial electrocardiogram leads.

CONCLUSION

ESR is often misdiagnosed as acute myocardial infarction, acute coronary syndrome, Brugada syndrome or other diseases that may involve elevated ST-segment, and careful examination of the ECGs, echocardiogram, troponin I and the patients' history of heart diseases may help differentiate ESR from these diseases.

摘要

目的

探讨ST段抬高患者早期复极综合征(ERS)的鉴别诊断及其临床意义。

方法

对5例ERS患者进行临床观察,并在出院后进行随访。

结果

所有患者均诉有胸闷或胸痛,伴有胸前导联心电图ST段抬高。

结论

ERS常被误诊为急性心肌梗死、急性冠状动脉综合征、Brugada综合征或其他可能涉及ST段抬高的疾病,仔细检查心电图、超声心动图、肌钙蛋白I以及患者的心脏病史可能有助于将ERS与这些疾病区分开来。

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