James K B, Obarski T P, Underwood D A
Department of Cardiology, Cleveland Clinic Foundation, Ohio 44195.
Cleve Clin J Med. 1990 Oct;57(7):618-21. doi: 10.3949/ccjm.57.7.618.
In a two-stage review, electrocardiographic patterns associated with anterior infarction were determined in 135 patients whose diagnoses were established by contrast ventriculography. The five most common findings were tested in 1,324 consecutive patients to assess sensitivity, specificity, and predictive accuracies for anterior myocardial infarction. The criteria were shown to have high positive predictive accuracy and specificity levels, and confirmed the value of the standard 12-lead electrocardiogram for detecting anterior myocardial injury.
在一项两阶段的研究中，对135例经对比心室造影确诊的患者，确定了与前壁梗死相关的心电图模式。对1324例连续患者检测了这五种最常见的表现，以评估其对前壁心肌梗死的敏感性、特异性和预测准确性。结果显示这些标准具有较高的阳性预测准确性和特异性水平，并证实了标准12导联心电图在检测前壁心肌损伤方面的价值。
