摘要
探究心电图在变异型心绞痛与急性心肌梗死鉴别诊断中的价值。选择32例变异型心绞痛患者为研究对象,经心电图检查发现,11例变异型心绞痛患者发展为急性心肌梗死,为其行冠状动脉造影检查后,发现诊断结果存在差异。在急性心肌梗死超急期和变异型心绞痛发作时,通过心电图诊断是无法鉴别的,但可根据变异型心绞痛ST段的过性改变、不出现病理性Q波以及对硝酸甘油的有效性鉴别诊断。经冠状动脉造影检查发现,11例变异型心绞痛患者中,演变为急性心肌梗死患者为9例。心电图在变异型心绞痛与急性心肌梗死鉴别诊断中具有重要价值,根据ST段以及病理Q波可准确鉴别两种疾病,为临床治疗提供有效参考依据,具有较高的推广价值。
The research explores the value of ECG in anomaly angina and acute myocardial infarction differential diagnosis.32 patients with anomaly angina patients are regarded as the research objects.Through ECG examination,11 anomaly angina patients progress to acute myocardial infarction.After coronary arteriography examination,difference is found in diagnosis results.Acute myocardial infraction in acute phase and anomaly angina can not be identified through ECG examination,but they can be diagnosed according to the excessive changes in ST segment of variant angina pectoris,absence of pathological Q wave and the effective identification of nitroglycerin.Through the coronary arteriography examination,among 11 anomaly angina patients,9 progress to acute myocafdial infarction patients.There is important value of ECG in anomaly angina and acute myocardial infarction differential diagnosis.2 kinds of diseases can be identified according to ST segment and pathological Q wave.This provides effective reference for clinical treatment,and this is worth high promotion value.
作者
于妍
Yu Yan(Dingxiang Medical Group, Xinzhou 035400, China)
出处
《黑龙江科学》
2021年第8期66-67,共2页
Heilongjiang Science
关键词
心电图
变异型心绞痛
急性心肌梗死
鉴别诊断
价值
ECG
Anomaly angina
Acute myocardial infarction
Differential diagnosis
Value
