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aVR导联ST段抬高：在急性冠脉综合征中的临床意义

ST Segment Elevation in aVR: Clinical Significance in Acute Coronary Syndrome.

作者信息

Kossaify Antoine

机构信息

Cardiac Catheterization Unit, Cardiology Division, USEK/University Hospital NDS, St. Charbel Street, Byblos, Lebanon.

出版信息

Clin Med Insights Case Rep. 2013 Mar 21;6:41-5. doi: 10.4137/CCRep.S11261. Print 2013.

DOI:10.4137/CCRep.S11261
PMID:23589701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3615989/
Abstract

A 59-year-old-male patient with no previous medical history presented with oppressive chest pain; initial electrocardiogram showed ST segment elevation in aVR and V1, with intermittent right bundle branch block. Emergent coronary angiogram showed a proximal sub-occlusive stenosis of the left anterior descending artery, and the patient was hemodynamically unstable during the first 72 hours. Insights into the significance of ST segment elevation in aVR are presented and discussed in light of the current medical data.

摘要

一名59岁男性患者，既往无病史，出现压榨性胸痛；初始心电图显示aVR和V1导联ST段抬高，伴有间歇性右束支传导阻滞。急诊冠状动脉造影显示左前降支近端次全闭塞性狭窄，患者在最初72小时内血流动力学不稳定。根据当前医学数据，对aVR导联ST段抬高的意义进行了阐述和讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab7/3615989/abdbe04f64c1/ccrep-6-2013-041f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab7/3615989/c254fd81eac7/ccrep-6-2013-041f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab7/3615989/af3082185d12/ccrep-6-2013-041f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab7/3615989/abdbe04f64c1/ccrep-6-2013-041f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab7/3615989/c254fd81eac7/ccrep-6-2013-041f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab7/3615989/af3082185d12/ccrep-6-2013-041f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab7/3615989/abdbe04f64c1/ccrep-6-2013-041f3.jpg

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J Electrocardiol. 2012 Sep;45(5):487-90. doi: 10.1016/j.jelectrocard.2012.05.001. Epub 2012 Jun 4.
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Left main stem stenosis in the unstable patient--forewarned is forearmed.
N Z Med J. 2011 Jul 8;124(1338):111-3.
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Short- and long-term prognostic significance of ST-segment elevation in lead aVR in patients with non-ST-segment elevation acute coronary syndrome.aVR 导联 ST 段抬高对非 ST 段抬高型急性冠状动脉综合征患者短期和长期预后的意义。
Am J Cardiol. 2011 Jul 1;108(1):21-8. doi: 10.1016/j.amjcard.2011.02.341. Epub 2011 Apr 27.
4
Clinical utility of aVR-The neglected electrocardiographic lead.aVR导联的临床应用——被忽视的心电图导联
Ann Noninvasive Electrocardiol. 2010 Apr;15(2):175-80. doi: 10.1111/j.1542-474X.2010.00359.x.
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ECG findings in acute left main coronary artery thrombosis: a case report and review of the literature.急性左主干冠状动脉血栓形成的心电图表现：一例病例报告及文献复习
Conn Med. 2009 Jun-Jul;73(6):333-5.
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Utility of lead aVR for identifying the culprit lesion in acute myocardial infarction.aVR导联在急性心肌梗死罪犯病变识别中的应用价值
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