Kuchárová L, Cagán S
IV. interná klinika LF UK, Bratislava.
Vnitr Lek. 1995 Dec;41(12):836-41.
Electrocardiography the cheapest, quickest and most readily available supportive examination method in patients with acute coronary events is irreplaceable also in the era of thrombolysis. The authors present a review of data from the literature on evaluation of the success of thrombolysis based on the electrocardiogram. They emphasize in the first place the importance of a rapid drop or normalization of the ST segment and/or the presence of so-called reperfusion arrhythmias (in particular an early, frequent, repetitive accelerated idioventricular rhythm). The authors mention also changes of the QRS complex, the T wave and Q-T interval during thrombolytic treatment.
心电图检查是急性冠状动脉事件患者最便宜、最快捷且最容易获得的辅助检查方法，在溶栓时代也具有不可替代的作用。作者对文献中基于心电图评估溶栓成功与否的数据进行了综述。他们首先强调ST段迅速下降或恢复正常以及出现所谓的再灌注心律失常（特别是早期、频繁、反复出现的加速性室性自主心律）的重要性。作者还提到了溶栓治疗期间QRS波群、T波和Q-T间期的变化。
