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大量研究证实右胸导联对右室梗塞有诊断价值。本研究用前瞻性方法,分析1984~1986年冠心病监护病房连续死亡的43例病例之ECG,并与病理资料对比,评价右胸导联对右室梗塞的诊断准确性。方法:本组病例符合以下标准:①无既往心肌梗塞临床及ECG证据;②ECG于发病后12小时内记录;③无束支传导阻滞.共43例,其中男28例,女15例,平均年龄67岁(44—84岁).经尸检证实36例为心肌梗塞,7例为非心脏疾病。 ECG按 Minnesota氏标准测量.规定右胸导联ST段抬高≥1mm为异常.心肌梗塞按 ECG分
A large number of studies have confirmed that right chest lead has a diagnostic value of right ventricular infarction. In this study, we prospectively analyzed the ECG of 43 consecutive deaths in the coronary care unit from 1984 to 1986 and compared the results with the pathological data to evaluate the diagnostic accuracy of the right chest lead for right ventricular infarction. Methods: This group of patients met the following criteria: (1) without previous clinical and ECG evidence of myocardial infarction; (2) recording ECG within 12 hours after onset; (3) without bundle branch block, 43 patients were male and 28 female Age 67 years (44-84 years old) .After autopsy confirmed 36 cases of myocardial infarction, 7 cases of non-cardiac disease. ECG according to Minnesota’s standard measurement .Regulate the right chest lead ST segment elevation ≥1mm for the abnormal myocardial infarction by ECG points