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本研究评估了12导联心电图预测即将发生的急性心肌梗死(AMI)左室游离壁破裂的价值。 方法 分析24例急性心肌梗死左室游离壁破裂患者的心电图,并与95例未发生心脏破裂的亚急性期AMI患者的ECG进行比较。选择亚急性期AMI作为对照是因为大部分左室游离壁破裂发生在亚急性期。AMI亚急性期是指发病12h以后,CK升高超过正常高限2倍。两组患者的一般临床特点及治疗无显著性差异。
This study evaluated the value of a 12-lead electrocardiogram in predicting left ventricular free wall rupture in the forthcoming acute myocardial infarction (AMI). Methods The electrocardiogram of 24 patients with left ventricular free wall rupture after acute myocardial infarction was analyzed and compared with that of 95 patients with subacute AMI without rupture of heart. Subacute AMI was chosen as the control because most of the left ventricular free wall rupture occurred in the subacute phase. AMI subacute period refers to the incidence of 12h later, CK increased more than 2 times the normal high limit. The two groups of patients with general clinical features and treatment no significant difference.