Department of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore.
Department of Cardiology, Ng Teng Fong General Hospital, Singapore.
Singapore Med J. 2019 Mar;60(3):124-129. doi: 10.11622/smedj.2019026.
We described two patients who were successfully resuscitated from out-of-hospital cardiac arrest. Their ECGs showed ST elevations in V1 and aVR, as well as diffuse ST depression. Their ST elevation in V1 was noted to be greater than in aVR. While one patient was found to have an occlusion of the right ventricular (RV) branch of the right coronary artery, the other was found to have an occlusion of a proximal non-dominant right coronary artery supplying the RV branch. Successful primary percutaneous coronary intervention was performed for each patient with angioplasty and implantation of a drug-eluting stent. Both patients made good physical and neurological recovery.
我们描述了两位成功从院外心脏骤停中复苏的患者。他们的心电图显示 V1 和 aVR 导联的 ST 段抬高，以及弥漫性 ST 段压低。他们 V1 导联的 ST 段抬高大于 aVR 导联。其中一位患者发现右冠状动脉右室支（RV）分支闭塞，另一位患者发现近端非优势右冠状动脉供应 RV 分支闭塞。对每位患者均进行了经皮冠状动脉介入治疗，包括球囊扩张和药物洗脱支架植入。两位患者均恢复良好的身体和神经功能。
