Tomcsányi J, Jobbágy L, Tenczer J, Bokori G, Horváth L, Miklós K
Országos Korányi TBC és Pulmonológiai Intézet, Budapest.
Orv Hetil. 1997 Mar 16;138(11):659-63.
The authors discuss the transient ischemic Q waves in various situations. Five cases are presented. Two patients had exercise-induced Q waves, one patient had right bundle branche block-dependent Q waves, one patient had transient Q waves after thrombolytic therapy and one patient had transient Q waves caused by Prinzmetal angina. Profound ischemia may not result in necrosis but may cause myocardial stunning. Myocardial stunning may be accompanied by deranged electrophysiologic activity with transient loss of electromotive forces.
作者讨论了各种情况下的短暂性缺血性Q波。本文报告了5例病例。2例患者出现运动诱发的Q波，1例患者出现右束支传导阻滞依赖性Q波，1例患者在溶栓治疗后出现短暂性Q波，1例患者因变异型心绞痛出现短暂性Q波。严重缺血可能不会导致坏死，但可能引起心肌顿抑。心肌顿抑可能伴有电生理活动紊乱及电动势的短暂丧失。
