Demangone Dawn
Emergency Medicine, Temple University School of Medicine, Jones Hall, 10(th) Floor, Park Avenue and Ontario Street, Philadelphia, PA 19140, USA.
Emerg Med Clin North Am. 2006 Feb;24(1):113-31, vi. doi: 10.1016/j.emc.2005.08.003.
The electrocardiogram reflects changes to the heart beyond those seen in acute myocardial infarction and acute coronary syndromes. Diseases of the pericardium and heart muscle such as pericarditis,myocarditis, and pericardial effusion have characteristic manifestations. Hypertensive heart disease is associated with a variety of changes on the electrocardiogram, as is valvular heart disease. Cardiac rhythm disturbances have been associated with the Brugada syndrome and the long QT syndrome, both of which have telltale findings on the electrocardiogram. The manifestations of dextrocardia, although rare, should be familiar to those who interpret electro-cardiograms. Transplanted hearts also feature classic changes, both in health and in stages of rejection. The various electrocardiographic manifestations of these noncoronary heart diseases are reviewed here.
心电图反映的心脏变化超出了急性心肌梗死和急性冠状动脉综合征中所见的变化。心包和心肌疾病，如心包炎、心肌炎和心包积液，有其特征性表现。高血压性心脏病与心电图上的多种变化有关，瓣膜性心脏病也是如此。心律失常与Brugada综合征和长QT综合征有关，这两种综合征在心电图上都有特征性表现。右位心的表现虽然罕见，但解读心电图的人应该熟悉。移植心脏在健康状态和排斥反应阶段也有典型变化。本文将对这些非冠状动脉性心脏病的各种心电图表现进行综述。
