急性心肌梗死中通过心电图定位罪犯血管的困境
Dilemma of localization of culprit vessel by electrocardiography in acute myocardial infarction.
作者信息
Thrudeep S, Geofi George, Rupesh George, Abdulkhadar S
机构信息
Department of Cardiology, Amala Institute of Medical Sciences, Amala Nagar, Thrissur 680 555, Kerala, India.
Department of Cardiology, Amala Institute of Medical Sciences, Amala Nagar, Thrissur 680 555, Kerala, India.
出版信息
Indian Heart J. 2016 Sep;68 Suppl 2(Suppl 2):S15-S17. doi: 10.1016/j.ihj.2015.07.053. Epub 2016 Mar 2.
Acute coronary syndrome (ACS) and electrocardiography showing ST elevation in Lead aVR>V1 are considered specific for left main coronary artery lesion and also suggest extensive anterior wall myocardial infarction. In this backdrop, we are presenting an incidental observation of an association of ST elevation in lead aVR>V1 in isolated proximal left circumflex lesion in the setting of ACS, who later underwent successful primary percutaneous coronary intervention.
急性冠状动脉综合征（ACS）以及心电图显示aVR导联ST段抬高大于V1导联，被认为是左主干冠状动脉病变的特异性表现，也提示广泛前壁心肌梗死。在此背景下，我们报告1例ACS患者，其孤立性左旋支近端病变时出现aVR导联ST段抬高大于V1导联，该患者随后成功接受了直接经皮冠状动脉介入治疗，此为一偶然发现。
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