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动脉搏动伪像所致假性心肌梗死的心电图线索:阿斯兰格征。

An Electrocardiographic Clue for Pseudo-myocardial Infarction Due to Arterial Pulse-tapping Artifact: Aslanger's Sign.

作者信息

Gursoy Havva Tugba, Dereagzi Senay Funda, Caliskan Ugur, Doğru Ceren Yağmur, Kulekci Furkan, Kaplan Zeynep, Bahtiyar Burak, Al Andac, Ozeke Ozcan

机构信息

Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey.

出版信息

J Innov Card Rhythm Manag. 2021 Sep 15;12(9):4685-4687. doi: 10.19102/icrm.2021.120904. eCollection 2021 Sep.

DOI:10.19102/icrm.2021.120904
PMID:34595053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8476092/
Abstract

Many factors and technical problems may alter the interpretation of electrocardiograms (ECGs). Infrequently, an artifact is considered to be the cause of ST-segment elevation, especially in asymptomatic patients. An important difference between true ST-segment elevation attributable to myocardial infarction and an artifact is that the baseline elevation in an artifact may begin before or after the onset of the QRS complex. When one encounters an abnormal ECG that exhibits suspicious wave contours and possibly only one completely normal limb lead, the diagnosis of arterial pulse artifact should be considered.

摘要

许多因素和技术问题可能会改变心电图(ECG)的解读。偶尔,伪差被认为是ST段抬高的原因,尤其是在无症状患者中。因心肌梗死导致的真正ST段抬高与伪差之间的一个重要区别在于,伪差中的基线抬高可能在QRS波群起始之前或之后开始。当遇到一份异常心电图,其波形轮廓可疑且可能只有一个完全正常的肢体导联时,应考虑动脉搏动伪差的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a1d/8476092/cc54f193bbe1/icrm-12-4685-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a1d/8476092/1b724bb1711f/icrm-12-4685-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a1d/8476092/cc54f193bbe1/icrm-12-4685-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a1d/8476092/1b724bb1711f/icrm-12-4685-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a1d/8476092/cc54f193bbe1/icrm-12-4685-g002.jpg

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引用本文的文献

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J Geriatr Cardiol. 2023 Sep 28;20(9):693-696. doi: 10.26599/1671-5411.2023.09.005.

本文引用的文献

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Circulation. 2018 Jan 23;137(4):402-404. doi: 10.1161/CIRCULATIONAHA.117.032657.
2
Electromechanical association: a subtle electrocardiogram artifact.机电关联:一种细微的心电图伪差。
J Electrocardiol. 2012 Jan-Feb;45(1):15-7. doi: 10.1016/j.jelectrocard.2010.12.162. Epub 2011 Feb 24.
3
Maybe a dazzle but not puzzle.或许令人目眩但并不迷惑。
J Electrocardiol. 2010 Nov-Dec;43(6):682-4; author reply 684-5. doi: 10.1016/j.jelectrocard.2010.04.010. Epub 2010 May 23.
4
An unusual electrocardiogram artifact in a patient with near syncope.
J Electrocardiol. 2010 Nov-Dec;43(6):686-8. doi: 10.1016/j.jelectrocard.2010.04.012. Epub 2010 Jun 2.