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运动试验期间QRS电轴短暂左偏作为降支前动脉严重近端病变的一种表现

[Transitory left deviation in the electrical axis of QRS during an exercise test as a manifestation of a severe proximal lesion of the descending anterior artery].

作者信息

Esteban Esteban E, Ridocci Soriano F, Vilar Herrero J V, Quesada Dorador A, Rodríguez Hernández J A, Peris Domingo E, Castelló Viguer T, Velasco Rami J A

机构信息

Servicio de Cardiología, Hospital General Universitario, Valencia.

出版信息

Rev Esp Cardiol. 1997 Jul;50(7):535-8. doi: 10.1016/s0300-8932(97)73259-7.

DOI:10.1016/s0300-8932(97)73259-7
PMID:9304182
Abstract

The case of a patient in whom transient left axis deviation occurred during a treadmill exercise test is reported. Coronary angiography showed a 90% obstruction of the proximal left anterior descending artery. After a successful coronary angioplasty and stent implantation, a control exercise test was performed without a recurrence of angina or transient intraventricular conduction disturbance, reflecting the ischaemic nature of this abnormality.

摘要

报告了一名患者在跑步机运动试验期间出现短暂性左轴偏移的病例。冠状动脉造影显示左前降支近端有90%的阻塞。在成功进行冠状动脉血管成形术和支架植入后,进行了对照运动试验,未再出现心绞痛或短暂性室内传导障碍,这反映了这种异常的缺血性质。

相似文献

1
[Transitory left deviation in the electrical axis of QRS during an exercise test as a manifestation of a severe proximal lesion of the descending anterior artery].运动试验期间QRS电轴短暂左偏作为降支前动脉严重近端病变的一种表现
Rev Esp Cardiol. 1997 Jul;50(7):535-8. doi: 10.1016/s0300-8932(97)73259-7.
2
[Transient left deviation in the electrical axis of QRS during an exercise test as a manifestation of a severe proximal lesion of the descending anterior artery].运动试验期间QRS电轴短暂左偏作为降前动脉严重近端病变的一种表现
Rev Esp Cardiol. 1997 Dec;50(12):913-4. doi: 10.1016/s0300-8932(97)74700-6.
3
Transient leftward QRS axis shift during treadmill exercise testing or percutaneous transluminal coronary angioplasty is a highly specific marker of proximal left anterior descending coronary artery disease.在跑步机运动试验或经皮腔内冠状动脉成形术期间短暂的QRS轴向左偏移是左前降支近端冠状动脉疾病的高度特异性标志物。
Am J Cardiol. 1997 Jun 1;79(11):1530-4. doi: 10.1016/s0002-9149(97)00187-2.
4
Ischemia-associated intraventricular conduction disturbances during exercise testing as a predictor of proximal left anterior descending coronary artery disease.运动试验期间与缺血相关的室内传导障碍作为左前降支近端冠状动脉疾病的预测指标。
Am J Cardiol. 1983 Apr;51(7):1098-102. doi: 10.1016/0002-9149(83)90352-1.
5
Accuracy of exercise-induced left axis QRS deviation as a specific marker of left anterior descending coronary artery disease.运动诱发的左轴QRS偏移作为左前降支冠状动脉疾病特异性标志物的准确性。
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6
Left anterior fascicular block: an ischaemic response during treadmill testing.左前分支阻滞:平板运动试验期间的缺血反应。
Br Heart J. 1991 Jan;65(1):51-2. doi: 10.1136/hrt.65.1.51.
7
Exercise-induced left-axis deviation of the QRS complex in left anterior descending coronary artery disease and reversal after revascularization.
Am J Cardiol. 1994 Dec 15;74(12):1277-8. doi: 10.1016/0002-9149(94)90565-7.
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The Medicine, Angioplasty or Surgery Study (MASS): a prospective, randomized trial of medical therapy, balloon angioplasty or bypass surgery for single proximal left anterior descending artery stenoses.药物、血管成形术或手术研究(MASS):一项针对单一近端左前降支动脉狭窄进行药物治疗、球囊血管成形术或搭桥手术的前瞻性随机试验。
J Am Coll Cardiol. 1995 Dec;26(7):1600-5. doi: 10.1016/0735-1097(95)00384-3.
9
Changes of QRS axis in transient myocardial ischaemia induced by percutaneous transluminal coronary angioplasty.经皮腔内冠状动脉成形术诱发的短暂性心肌缺血时QRS电轴的变化
Eur Heart J. 1994 Oct;15(10):1391-5. doi: 10.1093/oxfordjournals.eurheartj.a060400.
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Intermittent left anterior hemiblock during treadmill exercise test. Correlation with coronary arteriogram.平板运动试验期间的间歇性左前半阻滞。与冠状动脉造影的相关性。
Chest. 1977 Oct;72(4):492-4. doi: 10.1378/chest.72.4.492.