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墓碑样ST段抬高型心肌梗死

Tombstoning ST-Elevation Myocardial Infarction.

作者信息

Balci Bahattin

机构信息

Department of Cardiology, Van Specialist Trainig Education & Research Hospital, Van, Turkey.

出版信息

Curr Cardiol Rev. 2009 Nov;5(4):273-8. doi: 10.2174/157340309789317869.

DOI:10.2174/157340309789317869
PMID:21037844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2842959/
Abstract

Tombstoning ST elevation myocardial infarction can be described as a STEMI characterized by tombstoning ST-segment elevation. This myocardial infarction is associated with extensive myocardial damage, reduced left ventricle function, serious hospital complications and poor prognosis. Tombstoning ECG pattern is a notion beyond morphological difference and is associated with more serious clinical results.Despite the presence of a few reports on tombstoning ST elevation, there is no report which reviews STEMI demonstrating this electrocardiographic pattern.

摘要

墓碑样ST段抬高型心肌梗死可描述为以墓碑样ST段抬高为特征的ST段抬高型心肌梗死（STEMI）。这种心肌梗死与广泛的心肌损伤、左心室功能降低、严重的医院并发症及不良预后相关。墓碑样心电图模式不仅仅是形态学上的差异，还与更严重的临床结果相关。尽管有一些关于墓碑样ST段抬高的报道，但尚无对表现出这种心电图模式的STEMI进行综述的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd22/2842959/90d48c79f7c4/CCR-5-273_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd22/2842959/60692958a385/CCR-5-273_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd22/2842959/90d48c79f7c4/CCR-5-273_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd22/2842959/60692958a385/CCR-5-273_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd22/2842959/90d48c79f7c4/CCR-5-273_F2.jpg

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2
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本文引用的文献

1
Universal definition of myocardial infarction.心肌梗死的通用定义。
Circulation. 2007 Nov 27;116(22):2634-53. doi: 10.1161/CIRCULATIONAHA.107.187397. Epub 2007 Oct 19.
2
"Tombstoning" of ST segment in acute myocardial infarction -- effect on clinical course.急性心肌梗死时ST段“墓碑样改变”——对临床病程的影响
Kardiol Pol. 2006 Mar;64(3):275-80; discussion 281.
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N-terminal pro-brain natriuretic peptide and tombstoning ST-segment elevation in patients with anterior wall acute myocardial infarction.前壁急性心肌梗死患者的N末端脑钠肽前体与墓碑样ST段抬高
缺血性QRS波延长作为ST段抬高型心肌梗死患者心肌损伤的生物标志物。
Ann Noninvasive Electrocardiol. 2019 Jan;24(1):e12601. doi: 10.1111/anec.12601. Epub 2018 Sep 28.
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Ischemic QRS prolongation as a predictor of ventricular fibrillation in a canine model.缺血性QRS波增宽作为犬模型心室颤动的预测指标
Scand Cardiovasc J. 2018 Oct;52(5):262-267. doi: 10.1080/14017431.2018.1494304. Epub 2018 Sep 5.
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Myocardial infarction with ventricular septal rupture and cardiogenic shock.心肌梗死伴室间隔破裂和心源性休克。
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6
Patients with tombstoning pattern on the admission electrocardiography who have undergone primary percutaneous coronary intervention for anterior wall ST-elevation myocardial infarction: in-hospital and midterm clinical outcomes.入院心电图呈墓碑样图形且因前壁ST段抬高型心肌梗死接受直接经皮冠状动脉介入治疗的患者：住院及中期临床结局
Ann Noninvasive Electrocardiol. 2012 Oct;17(4):315-22. doi: 10.1111/j.1542-474X.2012.00524.x. Epub 2012 Aug 13.
Am J Cardiol. 2005 Nov 1;96(9):1197-9. doi: 10.1016/j.amjcard.2005.06.055. Epub 2005 Sep 1.
4
Ischemia-induced ST-segment elevation: classification, prognosis, and therapy.缺血性ST段抬高：分类、预后及治疗
J Electrocardiol. 2005 Oct;38(4 Suppl):1-7. doi: 10.1016/j.jelectrocard.2005.06.098.
5
Cellular basis for ST-segment changes observed during ischemia.缺血期间观察到的ST段改变的细胞基础。
J Electrocardiol. 2003;36 Suppl:1-5. doi: 10.1016/j.jelectrocard.2003.09.001.
6
Correlation between clinical findings and the "tombstoning" electrocardiographic pattern in patients with anterior wall acute myocardial infarction.前壁急性心肌梗死患者临床 findings 与“墓碑样”心电图模式之间的相关性。 （这里“findings”可结合上下文理解为临床表现等具体所指内容，直接翻译为“发现”较生硬，用“表现”等词更合适，但按要求未做意译处理）
Am J Cardiol. 2003 Dec 1;92(11):1316-8. doi: 10.1016/j.amjcard.2003.08.014.
7
Profound hypothermia mimicking a Brugada type ECG.酷似Brugada型心电图的深度低温。
J Electrocardiol. 2003 Jul;36(3):257-60. doi: 10.1016/s0022-0736(03)00043-8.
8
ABC of clinical electrocardiography: Acute myocardial infarction-Part I.临床心电图学基础：急性心肌梗死 - 第一部分
BMJ. 2002 Apr 6;324(7341):831-4. doi: 10.1136/bmj.324.7341.831.
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The grades of ischemia on the presenting electrocardiogram of patients with ST elevation acute myocardial infarction.ST段抬高型急性心肌梗死患者就诊时心电图的缺血分级
J Electrocardiol. 2001;34 Suppl:17-26. doi: 10.1054/jelc.2001.28819.
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Prediction of the extent and severity of left ventricular dysfunction in anterior acute myocardial infarction by the admission electrocardiogram.通过入院心电图预测前壁急性心肌梗死患者左心室功能障碍的程度和严重程度
Am Heart J. 2001 Jun;141(6):915-24. doi: 10.1067/mhj.2001.115300.