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心肌梗死时的P波异常:对诊断左心室衰竭的辅助作用。

P wave abnormalities with myocardial infarction: an aid to the diagnosis of left ventricular failure.

作者信息

Hassell T A, Hoffbrand B I

出版信息

Postgrad Med J. 1970 Jul;46(537):428-9. doi: 10.1136/pgmj.46.537.428.

Abstract

An investigation during a prospective study of myocardial infarction has confirmed previous observations of P wave changes in association with left ventricular failure. Although an indicator of pre-existing left ventricular disease as well as acute left atrial distension, a negative deflection of 1 mm or more in the P wave of lead V should raise strong suspicions about the presence of this serious complication.

摘要

在一项关于心肌梗死的前瞻性研究中进行的调查证实了先前有关P波变化与左心室衰竭相关的观察结果。尽管P波变化是既往存在的左心室疾病以及急性左心房扩张的一个指标,但V导联P波出现1毫米或更大的负向偏移应高度怀疑存在这种严重并发症。

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本文引用的文献

1
Observations on the atria of the human heart by direct and semidirect electrocardiography.
Circulation. 1952 Jun;5(6):870-7. doi: 10.1161/01.cir.5.6.870.
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Circulation. 1961 Mar;23:331-8. doi: 10.1161/01.cir.23.3.331.
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The atrial electrogram in mitral stenosis.
Br Heart J. 1953 Apr;15(2):250-8. doi: 10.1136/hrt.15.2.250.
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Serial P wave changes in acute myocardial infarction.
Am Heart J. 1969 Mar;77(3):336-41. doi: 10.1016/0002-8703(69)90189-6.

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