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心肌梗塞后并发室壁瘤的心电图改变,很易与急性心肌梗塞的图形相混淆。我院曾将5例室壁瘤误诊为急性心肌梗塞,现报告如下。以引起临床注意。一、临床资料:患者年龄55～76岁,其中4例有心肌梗塞病史,1例有冠心病心绞痛病史。以发作性心前区痛就诊3例,夜间呼吸困难发作就诊2例。查体血压及心率均与发病前相仿(血压120～160/80～90,心率60～100次/分),心尖区均可听到第四心音。
ECG changes after myocardial infarction complicated aneurysms, it is easy to be confused with the graphics of acute myocardial infarction. My courtyard had 5 cases of aneurysm misdiagnosed as acute myocardial infarction, are as follows. To attract clinical attention. First, the clinical data: Patients aged 55 to 76 years, of which 4 cases had a history of myocardial infarction, 1 case of coronary heart disease history of angina. Three cases were treated with episodic pre-cardiac pain and two cases were treated with dyspnea at night. Examination of blood pressure and heart rate were similar to before onset (blood pressure 120 ~ 160/80 ~ 90, heart rate 60 ~ 100 beats / min), apical area can hear the fourth heart sound.