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[心肌梗死时的心前区心跳(40例临床及心电图研究)]

[Precordial heart beats in myocardial infarct (clinical and electrocardiographic study in 40 cases)].

作者信息

Fishleder B L, Slavich G, Friedland C

出版信息

Arch Inst Cardiol Mex. 1978 May-Jun;48(3):511-26.

PMID:697455
Abstract

The precordial K1 to K6 cinetocardiograms in 40 patients with Myocardial Infarction (10 recent and 30 old) were studied. These were compared with the findings of the precordial palpetion, electrocardiograms, and the radiologic studies. In the recent infarcts, all the patients presented abnormal systolic "annoyances", 50% of which were palpable. In the old infarcts, 90% had abnormal cinetocardiograms and 63% had pathological precordial beats. The anterior infarcts tend to present "sounds" more to the right of the precordium than the posterior-inferiors. The diffuse cardiac hypokinesia may give normal cinetocardiograms. The severity of the myocardial disturbance is directly related to the precordial extension occupied by the abnormal systolic "annoyances". An aneurismectomy may cause the disappearance of the pathogenesis of these phenomena.

摘要

对40例心肌梗死患者(10例近期梗死和30例陈旧性梗死)的心前区K1至K6心动图进行了研究。将这些结果与心前区触诊、心电图和放射学检查结果进行了比较。在近期梗死患者中,所有患者均出现异常收缩期“异常”,其中50%可触及。在陈旧性梗死患者中,90%有异常心动图,63%有病理心前区搏动。前壁梗死比下后壁梗死更容易在前胸右侧出现“声音”。弥漫性心肌运动减弱可能导致心动图正常。心肌紊乱的严重程度与异常收缩期“异常”所占据的心前区范围直接相关。动脉瘤切除术可能会使这些现象的发病机制消失。

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1
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Arch Inst Cardiol Mex. 1978 May-Jun;48(3):511-26.
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