近期心肌梗死的首次心电图检查。
First electrocardiogram in recent myocardial infarction.
作者信息
McGuinness J B, Begg T B, Semple T
出版信息
Br Med J. 1976 Aug 21;2(6033):449-51. doi: 10.1136/bmj.2.6033.449.
Abstract
The admission electrocardiogram (ECG) was studied in 898 patients admitted to a coronary care unit over two years. The diagnosis made from this tracing was compared with that made at the end of the patient's stay. About half the cases of recent myocardial infarct were diagnosed from the admission ECG, but accuracy rose to 83% with serial ECG's in the unit. The ECG is important but not entirely reliable in the early detection of acute myocardial infarction, which should be largely a clinical diagnosis.
摘要
对两年内入住冠心病监护病房的898例患者的入院心电图进行了研究。将根据该心电图做出的诊断与患者出院时的诊断进行比较。近期心肌梗死病例中约有一半可通过入院心电图诊断出来，但在病房内进行系列心电图检查时，诊断准确率可升至83%。心电图在急性心肌梗死的早期检测中很重要，但并不完全可靠，急性心肌梗死在很大程度上应依靠临床诊断。
相似文献
1
First electrocardiogram in recent myocardial infarction.近期心肌梗死的首次心电图检查。
Br Med J. 1976 Aug 21;2(6033):449-51. doi: 10.1136/bmj.2.6033.449.
2
[Patients with an acute myocardial infarct treated in a coronary unit or in a general cardiology ward A comparative study].[在冠心病监护病房或普通心脏病房治疗的急性心肌梗死患者：一项对比研究]
Rev Esp Cardiol. 1993 Nov;46(11):735-42.
3
The initial electrocardiogram in patients seen by a mobile coronary care unit.由移动冠心病监护病房诊治的患者的初始心电图。
Q J Med. 1991 Mar;78(287):227-33.
4
5
6
[The early management of ST-elevation acute myocardial infarction in the Lombardy Region (GestIMA)].[伦巴第地区ST段抬高型急性心肌梗死的早期管理（GestIMA）]
Ital Heart J Suppl. 2005 Aug;6(8):489-97.
7
Comparison of mortality in patients with acute myocardial infarction accidentally admitted to non-cardiology departments versus that in patients admitted to coronary care units.急性心肌梗死患者意外入住非心脏科与入住冠心病监护病房患者的死亡率比较。
Am J Cardiol. 2014 Oct 15;114(8):1151-7. doi: 10.1016/j.amjcard.2014.07.035. Epub 2014 Jul 30.
8
Benefit of direct ambulance to coronary care unit admission of acute myocardial infarction patients undergoing primary percutaneous intervention.急性心肌梗死患者接受直接经皮冠状动脉介入治疗时，救护车直接送往冠心病监护病房的益处。
Int J Cardiol. 2007 Jul 31;119(3):355-8. doi: 10.1016/j.ijcard.2006.08.009. Epub 2006 Nov 3.
9
Electrocardiographic evaluation of reperfusion therapy in patients with acute myocardial infarction.急性心肌梗死患者再灌注治疗的心电图评估
Dan Med Bull. 1996 Feb;43(1):68-85.
10
[Diagnosis of acute myocardial infarct in corrected orthogonal electrocardiogram].[校正正交心电图对急性心肌梗死的诊断]
Z Gesamte Inn Med. 1975 Oct 1;30(19):197-201.
引用本文的文献
1
Prognosis in patients with spontaneous chest pain, a nondiagnostic electrocardiogram, normal cardiac enzymes, and no evidence of severe resting ischemia by quantitative technetium 99m sestamibi tomographic imaging.自发性胸痛、心电图无诊断意义、心肌酶正常且99m锝-甲氧基异丁基异腈定量断层显像无严重静息性心肌缺血证据患者的预后。
J Nucl Cardiol. 1998 Jan-Feb;5(1):64-72. doi: 10.1016/s1071-3581(98)80012-3.
2
Prognostic significance of ST-T segment alterations in patients with non-Q wave myocardial infarction.非Q波心肌梗死患者ST-T段改变的预后意义
Heart. 1996 Jun;75(6):582-7. doi: 10.1136/hrt.75.6.582.
3
Evaluating chest pain in the emergency department.在急诊科评估胸痛。
West J Med. 1993 Jul;159(1):61-8.
4
Audit of patients with chest pain presenting to an accident and emergency department over a 6-month period.对在六个月期间前往急诊科就诊的胸痛患者进行的审计。
Arch Emerg Med. 1993 Sep;10(3):155-60. doi: 10.1136/emj.10.3.155.
5
Intravenous beta-blockers during unstable angina and threatened infarction.不稳定型心绞痛和有心肌梗死风险时静脉使用β受体阻滞剂。
Br J Clin Pharmacol. 1982;14 Suppl 1(Suppl 1):29S-35S. doi: 10.1111/j.1365-2125.1982.tb02056.x.
6
Electrocardiograms and decision aids in coronary care triage: the truth, but not the whole truth.
J Gen Intern Med. 1987 Jan-Feb;2(1):67-70. doi: 10.1007/BF02596257.
7
Investigation of coronary artery disease.冠状动脉疾病的研究。
J R Coll Physicians Lond. 1986 Jan;20(1):21-4.
8
Detecting acute cardiac ischemia in the emergency department: a review of the literature.急诊科急性心肌缺血的检测：文献综述
J Gen Intern Med. 1990 Jul-Aug;5(4):365-73. doi: 10.1007/BF02600409.
9
Early diagnosis of acute myocardial infarction by a newly developed rapid immunoturbidimetric assay for myoglobin.通过新开发的用于肌红蛋白的快速免疫比浊法早期诊断急性心肌梗死。
Br Heart J. 1992 Nov;68(5):462-8. doi: 10.1136/hrt.68.11.462.
10
Relation of angina to coronary artery disease in mitral and in aortic valve disease.二尖瓣和主动脉瓣疾病中心绞痛与冠状动脉疾病的关系。
Br Heart J. 1978 Aug;40(8):918-22. doi: 10.1136/hrt.40.8.918.
本文引用的文献
1
Duration of last attack in 998 fatal cases of coronary artery disease and its relation to possible cardiac resuscitation.998例冠心病致死病例的末次发作持续时间及其与可能的心脏复苏的关系
Br Med J. 1968 Jul 20;3(5611):139-42. doi: 10.1136/bmj.3.5611.139.
2
The earliest electrocardiographic evidence of myocardial infarction.心肌梗死最早的心电图证据。
Br Heart J. 1970 Jan;32(1):6-15. doi: 10.1136/hrt.32.1.6.
Zotero 插件