急性下壁心肌梗死伴右心室受累及多个预后不良的临床心电图标志物。
Acute inferior myocardial infarction with right ventricular involvement and several clinical-electrocardiographic markers of poor prognosis.
作者信息
García-Niebla Javier, Pérez-Riera Andrés Ricardo, Barbosa-Barros Raimundo, Díaz-Muñoz Jorge, Daminello-Raimundo Rodrigo, de Abreu Luiz Carlos, Nikus Kjell
机构信息
Servicios Sanitarios del Área de Salud de El Hierro, Valle del Golfo Health Center, Islas Canarias, Spain.
Design of Studies and Scientific Writing Laboratory in the ABC School of Medicine, Santo André, São Paulo, Brazil.
出版信息
Ann Noninvasive Electrocardiol. 2019 Jan;24(1):e12592. doi: 10.1111/anec.12592. Epub 2018 Aug 14.
Right ventricular involvement in inferior myocardial infarction is a marker of poor prognosis. We present a case of a 62-year-old man with very recent onset of acute chest pain and cardiac shock with the triad of elevated jugular venous pressure, distension of the jugular veins on inspiration, and clear lung fields. In addition, the admission electrocardiogram showed a slurring J wave or lambda-like wave and conspicuous ST segment depression in several leads, predominantly in the lateral precordial (V4-V6), all clinical-electrocardiographic features of ominous prognosis.
下壁心肌梗死时右心室受累是预后不良的标志。我们报告一例62岁男性，近期突发急性胸痛并伴有心源性休克，具有颈静脉压升高、吸气时颈静脉扩张和肺部清晰三联征。此外，入院心电图显示多个导联出现顿挫的J波或λ样波以及明显的ST段压低，主要位于前侧壁心前区导联（V4-V6），所有这些临床心电图特征均提示预后不良。
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