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左束支传导阻滞和急性心肌梗死时的轴变化。

Left bundle branch block and changing axis deviation during acute myocardial infarction.

出版信息

Int J Cardiol. 2012 Mar 22;155(3):e39-41. doi: 10.1016/j.ijcard.2009.12.015. Epub 2010 Jan 6.

Abstract

Changing axis deviation has been reported also during atrial fibrillation or atrial flutter. Changing axis deviation has been also reported during acute myocardial infarction associated with atrial fibrillation too or at the end of atrial fibrillation during acute myocardial infarction. Left bundle branch block is usually associated with normal or left axis deviation. Rarely the ECG shows a left bundle branch block with changing QRS morphology and changing axis deviation. We present a case of a left bundle branch block with changing axis deviation in an 86-year-old Italian man admitted to the Cardiology Unit with an acute myocardial infarction. Also this case focuses attention on left bundle branch block with changing axis deviation.

摘要

在心房颤动或心房扑动期间也有报道出现轴变化。在与心房颤动相关的急性心肌梗死或急性心肌梗死期间心房颤动结束时也有报道出现轴变化。左束支传导阻滞通常与正常或左轴偏差相关。很少情况下心电图显示左束支传导阻滞伴 QRS 形态改变和轴变化。我们介绍了一个 86 岁的意大利男性病例,他因急性心肌梗死入住心内科,出现左束支传导阻滞伴轴变化。这个病例也关注了左束支传导阻滞伴轴变化。

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