心肌梗死男性幸存者的研究。VI. 心电图。
Studies of male survivors of myocardial infarction. VI. The electrocardiogram.
作者信息
Shanoff H M, Little J A
出版信息
Can Med Assoc J. 1965 Nov 13;93(20):1049-52.
Electrocardiograms of 101 men who survived myocardial infarction for at least three months and were free of hypertension, heart failure and other significant disease were analyzed. Within the range of 30 to 70 years, age had no apparent influence on the ECG. Six ECGs were borderline, 79 were abnormal and 16 had returned to normal. Of those with the pattern of infarction, 56 were transmural and 22 nontransmural. For all cases, posterior involvement was somewhat more common than anterior (46 to 32), but it was less common in non-transmural infarction. Ventricular premature beats, always unifocal and few in number, were the only abnormality in rhythm. Atrial fibrillation was conspicuously absent. There were four instances of complete left bundle-branch block. No evidence of left ventricular hypertrophy was seen. The clinical significance of these observations is briefly discussed.
对101名心肌梗死后存活至少三个月且无高血压、心力衰竭及其他重大疾病的男性的心电图进行了分析。在30至70岁范围内，年龄对心电图无明显影响。6份心电图处于临界状态，79份异常，16份已恢复正常。在有梗死模式的患者中，56例为透壁性梗死，22例为非透壁性梗死。在所有病例中，后壁受累比前壁稍常见（46例对32例），但在非透壁性梗死中较少见。室性早搏总是单灶性的，数量很少，是唯一的节律异常。明显没有房颤。有4例完全性左束支传导阻滞。未发现左心室肥厚的证据。简要讨论了这些观察结果的临床意义。
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