А诊断右室心肌梗死的心电图新标准

Q4 Medicine

Sklifosovsky Journal Emergency Medical Care Pub Date : 2021-09-30 DOI:10.24884/2072-6716-2021-22-3-24-31

E. Mazur, V. Mazur, R. M. Rabinovich, N. Kuznetsova, K. S. Myasnikov

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引用次数: 0

摘要

本研究旨在探讨12导联体表心电图st段变化特征，以帮助诊断右室受累下壁心肌梗死。本研究纳入145例下壁心肌梗死患者，超声心动图检查右室梗死(RVI) 62例(42.8%)。93.5%的RVI患者aVL导联ST段凹陷深度大于V3导联。这一特征仅在4.9%的无RVI的下壁心肌梗死患者中出现。诊断RVI的敏感性为93.5%，特异性为95.2%，阳性和阴性结果的预测值分别为93.5%和95.2%。

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А new electrocardiographic criterion in diagnosis right ventricular myocardial infarction

The aim of this study is to identify the features of ST-changes in 12-leads surface ECG, which help to diagnose the right ventricular involvement in inferior myocardial infarction. The study included 145 patients with inferior myocardial infarction, the right ventricular infarction (RVI) was detected by echocardiography in 62 (42.8%) patients. ST segment depression in lead aVL was deeper than in lead V3 in 93.5% of patients with RVI. This feature is revealed in 4.9% patients with inferior myocardial infarction without RVI only. The sensitivity of this criterion for diagnosis RVI is 93.5%, the specificity is 95.2%, the predictive value of positive and negative results make up 93.5 and 95.2%.

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来源期刊

Sklifosovsky Journal Emergency Medical Care Medicine-Emergency Medicine

CiteScore

0.90

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： The Journal "Neotlozhnaia meditsinskaia pomoshch" (parallel titles: Zhurnal im. N.V. Sklifosovskogo "Neotlozhnai︠a︡ medit︠s︡inskai︠a︡ pomoshch", "Sklifosovsky Journal of Emergency Medical Care") seeks to publish original research articles, literature reviews, case reports, brief reports on clinical practice, and other suitable material submitted by professionals involved in the diagnosis and treatment of acute medical and surgical conditions.