高估心肌缺血

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Noninvasive Electrocardiology Pub Date : 2025-03-28 DOI:10.1111/anec.70064

Hang Lv, Ming Liu

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引用次数: 0

摘要

我们介绍了一例69岁女性二尖瓣脱垂伴严重返流的病例，她在接受二尖瓣置换术后从ICU转到普通病房。常规心电图检查显示心前导联受心尖搏动影响，导致假性st段下陷，QT间期延长。在临床实践中，心尖搏动引起的心电图伪影，如果不仔细区分，可能会给患者带来不必要的检查和治疗。我们的案例强调了准确识别心电伪影的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Overestimated Myocardial Ischemia

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Overestimated Myocardial Ischemia

We introduced a case of a 69-year-old female patient with mitral valve prolapse with severe regurgitation who was transferred from the ICU to a regular ward after undergoing mitral valve replacement surgery. Routine ECG examination showed that the precordial leads were affected by the apical pulsation, leading to pseudo-ST segment depression and prolonged QT interval. In clinical practice, ECG artifacts caused by apical pulsation, if not carefully distinguished, may lead to unnecessary examinations and treatments for patients. Our case emphasizes the importance of accurately identifying ECG artifacts.

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来源期刊

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.