左束支传导阻滞等同于ST段抬高型心肌梗死：何时等同，何时不等同？
Left bundle branch block as equivalent of ST-segment elevation myocardial infarction: when yes, when not?
作者信息
Ceballos-Naranjo Laura, Cardona-Vélez Jonathan
机构信息
Faculty of Medicine, Universidad Pontificia Bolivariana, Hospital Universitario San Vicente Fundación. Medellín, Colombia.
Internal Medicine, Universidad de Antioquia, Hospital Universitario San Vicente Fundación. Medellín, Colombia.
出版信息
Arch Cardiol Mex. 2019;89(1):20-25. doi: 10.24875/ACME.M19000004.
A new or presumably new left bundle branch block along with ischemic symptoms has traditionally been considered an electrocardiographic equivalent of ST-segment elevation myocardial infarction, which should be brought to emergent reperfusion. However, several criteria have been proposed for its definition, but none has reached out an optimal diagnostic yield. Below we detail these criteria, their main problems and the advantages they have shown.
传统上，新发或疑似新发的左束支传导阻滞伴有缺血症状被视为ST段抬高型心肌梗死的心电图等同表现，应进行紧急再灌注治疗。然而，已经提出了几种用于其定义的标准，但没有一个能达到最佳的诊断效果。下面我们详细介绍这些标准、它们的主要问题以及所显示的优势。
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