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右室梗塞(RVI)少见。心电图描记需要做V_3R～V_6R导联予以证实。我院于1987～1989年共收治急性心肌梗塞(AMI)78例,其中RVI 8例,现报告如下: 临床资料 78例根据临床症状、心电图、血清酶学的典型改变诊断为AMI。凡心电图右胸导联的V_3R～V_6R导联中至少有一个导联ST段抬高≥0.1MV,QRS波波Qγ或QR型者为合并RVI。其中男性5例,女性3例。年龄50～70岁(平均67岁)。8例中累及下壁,后壁者5例(62.5％),其余为合并前间壁2例,并广泛前壁1例。5例并心源性休克(62.5％)。3例死亡(37.5％),分别为室颤1例,脑溢血1例,心源性休克1例。发生心律失常6例(75％),其中三度房室传导阻带(Ⅲ°AVB)3例(37.5％);房早、房速3例;房颤1例;室速、室颤2例;窦缓,交界性逸搏,完全性右束支阻滞各1
Right ventricular infarction (RVI) rare. ECG needs to be done V_3R ~ V_6R lead be confirmed. In our hospital from 1987 to 1989 were treated 78 cases of acute myocardial infarction (AMI), of which 8 cases of RVI, are reported as follows: Clinical data of 78 cases based on clinical symptoms, ECG, serum enzyme diagnosis of typical changes in AMI. Where ECG leads right chest lead V_3R ~ V_6R lead at least one lead ST segment elevation ≥ 0.1MV, QRS wave Qγ or QR type were combined RVI. There are 5 males and 3 females. Age 50 to 70 years (mean 67 years). In 8 cases, 5 cases (62.5%) were involved in inferior wall and posterior wall, and the rest were 2 cases with anterior wall merger and 1 case with extensive anterior wall. 5 cases and cardiogenic shock (62.5%). Three died (37.5%), including 1 case of ventricular fibrillation, 1 case of stroke and 1 case of cardiogenic shock. There were 6 cases (75%) of arrhythmia, including 3 cases of third degree AVB (37.5%), 3 cases of atrial premature and 3 cases of atrial fibrillation, 1 case of atrial fibrillation, 2 cases of ventricular tachycardia and 2 ventricular fibrillation ; Slow sinus, junctional escape, complete right bundle branch block 1