左前降支动脉闭塞的一种不寻常表现：aVR导联及T波方向的意义
An unusual presentation of left anterior descending artery occlusion: significance of lead aVR and T-wave direction.
作者信息
Gul Enes E, Nikus Kjell C
机构信息
Department of Cardiology, Meram School of Medicine, Selcuk University, Meram, Konya, Turkey.
出版信息
J Electrocardiol. 2011 Jan-Feb;44(1):27-30. doi: 10.1016/j.jelectrocard.2010.08.009.
Acute occlusion of the left anterior descending coronary artery (LAD) is frequently encountered in acute ST-elevation myocardial infarction. Early detection of the clinical entity by the presenting electrocardiogram (ECG) should result in immediate aggressive clinical management. Although the typical ECG pattern of LAD occlusion is ST elevation, also atypical presentations, like ST depression, may occur. We describe a case with an unusual ECG pattern that suggested acute anterior myocardial infarction due to LAD occlusion.
急性ST段抬高型心肌梗死中常出现左前降支冠状动脉（LAD）急性闭塞。通过呈现的心电图（ECG）早期检测该临床实体应导致立即进行积极的临床管理。虽然LAD闭塞的典型心电图模式是ST段抬高，但也可能出现非典型表现，如ST段压低。我们描述了一例具有不寻常心电图模式的病例，提示因LAD闭塞导致急性前壁心肌梗死。
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