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[心前区映射法对急慢性缺血性心脏病患者的诊断潜力]

[Diagnostic potentials of a precordial mapping method in patients with acute and chronic forms of ischemic heart disease].

作者信息

Polonetskiĭ L Z, Tsapaeva N L, Sidorenko E R, Fedorovskaia N I, Mironchik V V

出版信息

Ter Arkh. 1988;60(3):109-12.

PMID:3388259
Abstract

Diagnostic potentialities of modified 27 and 30 precordial ECG-leads were defined for rapid assessment of the coronary blood flow in patients with acute myocardial infarction (AMI) and chronic coronary heart disease during an acute pharmacological test. ECG criterita of limiting AMI size and ECG criteria of the ischemic reaction during the pharmacological xantinol nicotinate test were defined. It was proved that the use of multiple ECG leads raised the sensitivity of the ECG method in the diagnosis of AMI by 13.6% and in the diagnosis of stenosing atherosclerosis of the coronary arteries by 12.9%.

摘要

确定了改良的27个和30个胸前心电图导联在急性药理试验期间对急性心肌梗死(AMI)和慢性冠心病患者冠状动脉血流快速评估的诊断潜力。定义了限制AMI面积的心电图标准以及烟酸占替诺药理试验期间缺血反应的心电图标准。结果证明,使用多个心电图导联可使心电图法诊断AMI的敏感性提高13.6%,诊断冠状动脉狭窄性动脉粥样硬化的敏感性提高12.9%。

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