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本文就心房梗塞的发病率、临床特征及现行诊断标准进行讨论,并试图说明心房梗塞是一特殊的临床实体。历史与发病率首例心房梗塞系1925年由Clerc和Levy报告,为60岁男性,尸检发现右心耳出血性梗塞。1948年,依据体表心电图上的PTa段(PTa Segment)改变.首次生前诊断出心房梗塞。1938年,Bean报告287例心肌梗塞的病理研究,其中有2例心房梗塞,占0.7％。1942年,Cushing等报告经尸检证实的31例心房梗塞,占182例致命性心肌梗塞的17％。
This article discusses the incidence of atrial infarction, clinical features, and current diagnostic criteria and attempts to demonstrate that atrial infarction is a particular clinical entity. History and incidence The first case of atrial infarction, reported by Clerc and Levy in 1925, was a 60-year-old man who was found to have a right atrial appendage obstruction at necropsy. Changes in PTa Segment on body surface electrocardiogram in 1948. Atrial infarction was diagnosed at first birth. In 1938, Bean reported 287 cases of myocardial infarction pathological studies, including 2 cases of atrial infarction, accounting for 0.7%. In 1942, Cushing and other reports confirmed by autopsy 31 cases of atrial infarction, accounting for 17% of 182 cases of fatal myocardial infarction.