Tan J W C, Gunasegaran K, Teo W S
Department of Cardiology, National Heart Centre, Mistri Wing, Third Hospital Avenue, Singapore 168752.
Singapore Med J. 2006 Oct;47(10):913-6; quiz 917.
The early diagnosis of acute myocardial infarction is crucial for the institution of appropriate reperfusion therapy. We describe a 56-year-old man who developed sudden onset of severe chest tightness. Inferior, posterior and right ventricular ST elevation myocardial infarction was diagnosed on electrocardiography (ECG). The ECG interpretation, differential diagnosis and management are discussed.
急性心肌梗死的早期诊断对于实施恰当的再灌注治疗至关重要。我们描述了一名56岁男性,他突然出现严重的胸闷。心电图(ECG)诊断为下壁、后壁及右心室ST段抬高型心肌梗死。本文讨论了该心电图的解读、鉴别诊断及处理。