Farto e Abreu P, Gil V, Silva J A, Seabra-Gomes R
Serviço de Cardiologia, Hospital de Santa Cruz, Carnaxide, Portugal.
Rev Port Cardiol. 1992 Sep;11(9):739-47.
Combined infarction can be defined as the presence of ST segment elevation simultaneously in anterior and inferior leads. Their possible anatomical and physiopathological causes are suggested. Four cases of combined infarction, three of them in previously asymptomatic patients are presented, with their electrocardiographic and angiocoronarography patterns. Acute phase and 24 hours ECG ST changes are analysed and the possibility of an indirect approach to the angiographic diagnosis, is discussed.
合并性梗死可定义为前壁导联和下壁导联同时出现ST段抬高。文中提出了其可能的解剖学和生理病理学原因。本文介绍了4例合并性梗死病例，其中3例发生在既往无症状的患者中，并阐述了其心电图和冠状动脉造影表现。分析了急性期和24小时心电图ST段变化，并讨论了间接进行血管造影诊断的可能性。
