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目的通过心电图(ECG)与心向量图(VCG)同时记录分析,及时发现诊断急性右室梗死(ARVI)。方法选自临床诊断明确,心肌酶谱(CK-MB)升高,有典型急性右室梗死ECG与VCG资料。分析在有或无左室梗死条件下急性右室梗死心向量图改变。结果 4例ARVI以ST向量向右侧增大为主要特点。单纯右室梗死ST向量指向右上方,伴有下壁梗死ST向量指向右前下方,伴有下、后壁梗死的ST向量指向右后下方。结论 VCG对ARVI有较高的诊断价值。
Objective To diagnose acute right ventricular infarction (ARVI) in time through simultaneous recording and analysis of electrocardiogram (ECG) and cardiac vector chart (VCG). The method was selected from the clinical diagnosis of clear, elevated myocardial enzyme (CK-MB), ECG and VCG typical acute right ventricular infarction. Analysis of changes in cardiogram of acute right ventricular infarction with or without left ventricular infarction. Results Four cases of ARVI with ST vector to the right to increase as the main features. Right ventricular infarction ST vector pointing to the upper right, accompanied by infarction of ST infarction point under the right front, ST, accompanied by infarction of the lower back wall, pointing to the bottom right. Conclusion VCG has a higher diagnostic value of ARVI.