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伴有典型前壁ST段压低和下壁ST段抬高的左前降支冠状动脉和右冠状动脉同时闭塞。

Concomitant left anterior descending coronary artery and right coronary artery occlusion with typical anterior ST depression and inferior ST elevation.

作者信息

Brunetti Natale Daniele, Ieva Riccardo, Correale Michele, De Gennaro Luisa, Ienco Vincenzo, Cuculo Andrea, Ziccardi Luigi, Di Biase Matteo

机构信息

Cardiology Department, University of Foggia, Foggia, Italy.

出版信息

J Electrocardiol. 2010 Jan-Feb;43(1):79-82. doi: 10.1016/j.jelectrocard.2009.09.006.

DOI:10.1016/j.jelectrocard.2009.09.006
PMID:20005994
Abstract

We report the case of a 41-year-old man with acute myocardial infarction showing first ST elevation in V1-V6-DI-aVL leads followed by a typical V2-V4 ST depression (concomitant occlusion of proximal diagonal branch with an incomplete left anterior descending occlusion) and DII-DIII-aVF ST elevation. At coronary angiography, a proximal left anterior descending coronary stenosis with right coronary artery thrombosis was found.

摘要

我们报告了一例41岁急性心肌梗死男性患者的病例，其心电图最初表现为V1-V6-DI-aVL导联ST段抬高，随后出现典型的V2-V4导联ST段压低（提示对角支近端闭塞合并左前降支不完全闭塞）以及DII-DIII-aVF导联ST段抬高。冠状动脉造影显示左前降支近端狭窄并伴有右冠状动脉血栓形成。

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