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本文通过对75例急性心肌梗死(AMI)患者的冠状动脉造影和静息心电图检查结果进行对比分析,旨在评价二者对AMI诊断的价值。1资料与方法1.1研究对象2001年1月-2004年8月在我院心内科住院患者75例,所有患者均符合ISFC/WHO临床命名标准化联合专题组报告中提出的冠心病诊断标准,AMI诊断标准:(1)典型或不典型病史。(2)肯定性心电图改变。(3)血清心肌酶浓度的序列变化。75例患者中,男47例,女28例,年龄53-78岁,平均年龄(67.6±2.7)岁。1.2研究方法AMI心电图改变及定位由常规心电图测定,除常规12导联外,根据需要加做V7、V8、V9、V3R、V4R、V5R。每例患者入院后每天做心电图1次,1周后每周检查心
In this paper, 75 cases of acute myocardial infarction (AMI) patients with coronary angiography and resting ECG test results were compared to evaluate the value of the two for the diagnosis of AMI. 1 Materials and Methods 1.1 Subjects From January 2001 to August 2004 in our hospital cardiology 75 cases of inpatients, all patients are in line with ISFC / WHO clinical naming standardization report of the Joint Special Investigation Group proposed in the diagnosis of coronary heart disease, AMI diagnosis Standard: (1) typical or atypical medical history. (2) positive ECG changes. (3) Serum myocardial enzyme sequence changes in concentration. Among the 75 patients, 47 were males and 28 were females, aged 53-78 years, with an average age of 67.6 ± 2.7 years. 1.2 Research AMI ECG changes and positioning by conventional ECG determination, in addition to conventional 12 lead, according to the need to do plus V7, V8, V9, V3R, V4R, V5R. Each patient admitted to hospital once a day after electrocardiogram 1 week after a week to check the heart