论文部分内容阅读
在存在完全性左束支传导阻滞时,据心电图能否诊断心肌梗塞是有争议的。本研究是试图寻求心电图诊断心肌梗塞合并完全性左束支传导阻滞标准的可靠性。在985例中缺血性胸疼发生在18小时以内者有35人合并完全性左束支传导阻滞。急性心梗可通过磷酸激酶同功酶(CK—MB)的增高而确定诊断。在这35例病人中24例有急性心肌梗塞和/或陈旧性心肌梗塞,另11例则无心肌梗塞发
In the presence of complete left bundle branch block, ECG based on the diagnosis of myocardial infarction is controversial. This study sought to determine the reliability of the electrocardiogram for the diagnosis of myocardial infarction with complete left bundle branch block. In 985 patients with ischemic chest pain occurred within 18 hours, 35 had complete left bundle branch block. Acute myocardial infarction is confirmed by an increase in phosphokinase isoenzyme (CK-MB). Of the 35 patients, 24 had acute myocardial infarction and / or old myocardial infarction, and the other 11 had no myocardial infarction