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为探讨 FCG 在冠心病诊断与鉴别诊断上的意义,本文对30例心电图(ECG)早期复极综合征(ERS)者的 FCG 进行了观察。30例本院心内科住院或门诊就诊者,均为男性,平均年龄42±3.5岁,符合以下条件:1.ECG 符合 ERS 的诊断:J 点到达基线前 ST 段提前开始抬高,呈凹面向下型,可升高0.1~0.4mv:T 波直立,电压高,两肢对称;以上 ST-T 改变多见于 V_(3-5)导联,有时见于Ⅱ、Ⅲ、aVF 导联,ECG 上无对应导联的 ST-T 改变;运动后以上改变可转为正常。2.病史、体检、心 X 线,心脏 B超、心向量图(VCG)与血脂、血糖(部分还进行了踏车心脏负荷试验与心血流阻抗图)等检查,可除外各种器质性心脏病;3.有不同程度的胸痛或胸闷不适。
To investigate the significance of FCG in the diagnosis and differential diagnosis of coronary heart disease, we observed the FCG of 30 patients with early repolarization syndrome (ERS) in electrocardiogram (ECG). 30 hospitalized patients with cardiology or outpatient clinic were male, mean age 42 ± 3.5 years, meet the following conditions: 1.ECG consistent with the diagnosis of ERS: J point before the start of baseline ST segment elevation, was concave Lower type, can be increased 0.1 ~ 0.4mv: T wave upright, high voltage, symmetrical limbs; ST-T more common in V_ (3-5) lead, and sometimes seen in Ⅱ, Ⅲ, aVF lead, ECG No corresponding leads ST-T changes; after exercise, these changes can be converted to normal. 2. History, physical examination, heart X ray, heart B ultrasound, cardiac map (VCG) and blood lipids, blood glucose (some treadmill treadmill load test and heart blood flow impedance map) and other tests, except for a variety of devices Sexual heart disease; 3. There are different degrees of chest pain or chest discomfort.