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| Effect of body surface electrocardiogram on location of infarcted artery in patients with acute inferior wall myocardial infarction |
| HE Hui-jian LIU Ya-ling CHEN Ming LI Yi WU Hai-zhen |
| Electrocardiogram Room, Yichun Hospital of Traditional Chinese Medicine, Jiangxi Province, Yichun 336000, China
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Abstract Objective To analyze the role of surface electrocardiogram in the location of infarcted artery in patients with acute inferior myocardial infarction, in order to provide basis for the optimization of the diagnosis and treatment of patients with acute inferior myocardial infarction. Methods A total of 50 patients with acute inferior myocardial infarction treated in Yichun Hospital of Traditional Chinese Medicine from June 2019 to May 2020 were selected as the research subjects, all selected patients underwent surface electrocardiogram and coronary angiography (CAG),the results of CAG were used as the"gold standard"to analyze the evaluation value of each parameter index of surface electrocardiogram in the location of infarcted artery in patients with acute inferior myocardial infarction. Results Among 50 patients with acute inferior myocardial infarction confirmed by CAG, 39 cases had right coronary artery infarction, accounting for 78.00%, 11 cases had left circumflex branch, accounting for 22.00%. The results of Kappa confirmed that there was a good consistency between the results of electrocardiogram and CAG in the location of infarcted artery in patients with acute inferior myocardial infarctio (Kappa=0.781, P<0.05). The surface electrocardiographic findings of left circumflex artery infarction: STaVR↓≥0.05 mV, STV3↓/STⅢ↑>1.2, electrocardiographic findings of right coronary artery: STⅢ↑/STⅡ↑>1, STaVL↓/STⅠ↓>1, STV1↑. The detection rate of STaVR↓≥0.05 mV to left circumflex coronary artery was 90.91%, the detection rate of STV3↓/STⅢ↑>1.2 was 81.82%, the detection rates of STⅢ↑/STⅡ↑>1,STaVL↓/STⅠ↓>1, STV1↑ to right coronary artery infarction were 94.87%, 92.31% and 92.31%, respectively. The detection rates of STⅢ/STⅡ↑>1, STaVL↓/STⅠ↓>1 and STV1↑ were 88.00%, 84.00% and 92.00%, respectively.Conclusion Surface electrocardiogram has high diagnostic efficiency in locating infarct artery in acute inferior myocardial infarction, clinically, the parameters of surface electrocardiogram can be used to assist in locating the infarcted artery, which can provide the basis for the formulation of early treatment regimen.
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| [1] |
鲁谦，刘娟锋，董梦舒，等.急性下壁心肌梗死急诊PCI 术中足量阿托品预处理抑制再灌注迷走神经反射的临床研究[J].中国当代医药，2018，25（19）：60-62.
|
| [2] |
程晓莉，马志玲.急性ST 段抬高型心肌梗死心电图的诊断价值探讨[J].西南国防医药，2018，28（12）：1211-1213.
|
| [3] |
孟金凤，雷金花，金瑞冕，等.高敏肌钙蛋白T 联合心电图碎裂QRS 波对急性心肌梗死的早期诊断价值[J].中国当代医药，2020，27（24）：83-86.
|
| [4] |
中华医学会心血管病学分会，中华心血管病杂志编辑委员会，《中国循环杂志》编辑委员会.急性心肌梗死诊断和治疗指南[J].中国循环杂志，2001（6）：407-422.
|
| [5] |
臧嘉斌，柳俊.体表心电图预测急性下壁ST 段抬高型心肌梗死罪犯血管的研究进展[J].岭南心血管病杂志，2015，21（2）：269-272.
|
| [6] |
Resor CD，Bhatt DL.Bioresorbable vascular scaffolds in acute myocardial infarction：non-inferior or not enough data?[J].Eur Heart J，2019，40（2）：177-179.
|
| [7] |
俞晋虹，江小娟.急性心肌梗死心电图aVR 导联ST 段改变与梗死冠脉数量及预后的相关性[J].现代仪器与医疗，2019，25（6）：57-60.
|
| [8] |
刘文霞，王胜，马毅，等.急性下壁心肌梗死致病血管体表心电图定位研究进展[J].武警医学，2018，29（6）：635-638.
|
| [9] |
张红丽，于波.急性ST 段抬高型心肌梗死心电图对冠脉血管的定位诊断[J].中国实验诊断学，2019，23（2）：254-256.
|
| [10] |
宋锴铖，赵继义，周立君.不同梗死相关动脉引起的急性下壁心肌梗死的临床特点及心电图分析[J].临床心血管病杂志，2017，33（8）：805-808.
|
| [11] |
张萍.急性心肌梗死患者心电图缺血分级与靶血管狭窄程度的临床研究[J].中国综合临床，2018，34（2）：138-141.
|
| [12] |
邓莲香，黄学成.心电图缺血分级与急性心肌梗死靶血管定位及狭窄程度的关系[J].解放军预防医学杂志，2018，36（2）：178-180.
|
| [13] |
刘玮娜，盛新建，田茂云.心电图Ⅰ、aVL 导联 ST 段抬高与急性心肌梗死罪犯血管的关系分析[J].中华保健医学杂志，2019，21（4）：358-360.
|
| [14] |
尹岚，徐昕.心电图N 波对急性心肌梗死患者血管病变部位及心功能判断价值[J].临床军医杂志，2019，47（10）：1095-1098.
|
| [15] |
田江华，卢广平，张海澄，等.体表心电图在急性下壁心肌梗死中的定位诊断价值[J].中国心血管杂志，2018，23（6）：477-480.
|
| [16] |
王朝琳.常规心电图与动态心电图用于急性非ST 段抬高型心肌梗死临床诊断效能的比较[J].中国医药科学，2021，11（11）：153-156.
|
| [17] |
季思媛，王翔，李开军.心电图T 波形态对STEMI 患者PCI治疗后近中期效果的影响[J].中国现代医生，2020，58（29）：36-40.
|
|
|
|
