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正常心电图作为冠心病患者左心室功能的预测指标。

The normal electrocardiogram as a predictor of left ventricular function in patients with coronary artery disease.

作者信息

Swartz M H, Pichard A D, Meller J, Teichholz L E, Herman M V

出版信息

Br Heart J. 1977 Feb;39(2):208-11. doi: 10.1136/hrt.39.2.208.

DOI:10.1136/hrt.39.2.208
PMID:836737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC483218/
Abstract

Fifty-five consecutive patients with a normal resting electrocardiogram and coronary artery disease were examined to determine left ventricular function. Fifty-two (95%) had no evidence of left ventricular asynergy; 3 patients had only mild hypokinesis. Of this group of patients, 25 (47%) had one vessel disease, 17 (30%) had two vessel disease, and 13 (23%) had three vessel disease. Significant left ventricular asynergy was not found in patients with coronary artery disease and normal electrocardiograms. In addition, a normal electrocardiogram was not related to the number of coronary arteries involved.

摘要

对55例静息心电图正常但患有冠状动脉疾病的患者进行检查以确定左心室功能。52例(95%)没有左心室协同失调的证据;3例仅有轻度运动减弱。在这组患者中,25例(47%)患有单支血管病变,17例(30%)患有双支血管病变,13例(23%)患有三支血管病变。在冠状动脉疾病且心电图正常的患者中未发现明显的左心室协同失调。此外,正常心电图与受累冠状动脉的数量无关。

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本文引用的文献

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Localized disorders in myocardial contraction. Asynergy and its role in congestive heart failure.心肌收缩的局部性紊乱。协同失调及其在充血性心力衰竭中的作用。
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Electrocardiographic and cineangiographic correlations in assessment of the location, nature and extent of abnormal left ventricular segmental contraction in coronary artery disease.冠状动脉疾病中左心室节段性异常收缩的部位、性质及范围评估的心电图与电影血管造影相关性研究
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