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无 Q 波急性心肌梗塞是指心肌梗塞发生后在心电图上不能记录到病理性 Q 波的一种心肌梗塞类型。它既可发生于非透壁性急性心肌梗塞中,亦可作为透壁性急性心肌梗塞的表现类型。病因和发病机制是多方面的。其病理生理、诊断、治疗及预后等均与有病理性 Q 波的急性心肌梗塞不尽相同.本文概述此型心肌梗塞的有关问题。
No Q-wave acute myocardial infarction is a type of myocardial infarction in which the pathological Q-wave can not be recorded on the electrocardiogram after myocardial infarction. It can occur in non-transmural acute myocardial infarction, transmural acute myocardial infarction can also be used as the performance type. Etiology and pathogenesis are many. The pathophysiology, diagnosis, treatment and prognosis are all different from the acute myocardial infarction with pathological Q waves.This paper summarizes the related problems of this type of myocardial infarction.