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在心肌梗塞的各种临床类型中,有一组心肌梗塞可以不被临床医师及患者本人所觉察。本文报道并分析Framingham地区在18年前瞻性观察中所见的60例未被觉察的心肌梗塞病例的临床表现。方法:在18年的随访期中,259例发生了心肌梗塞,其中60例是在每2年一次的心电图检查时发现具有前所未有的异常Q波,表示在这2年中曾有心肌梗塞形成,但临床医师及患者本人均未觉察,因而列为未被觉察的心肌梗塞。未被觉察的心肌梗塞又可分为:(1)“有症状”组:在这2年中曾发生过类似急性梗
In various clinical types of myocardial infarction, a group of myocardial infarction may not be aware of the clinician and the patient himself. This article reports and analyzes the clinical manifestations of 60 unidentified cases of myocardial infarction seen in 18 years of prospective observational studies in Framingham. METHODS: During an 18-year follow-up, 259 myocardial infarctions occurred, of which 60 were found to have an unprecedented Q-wave at every 2-year electrocardiogram, indicating myocardial infarction in these 2 years but Clinicians and patients themselves were not aware of, thus classified as not aware of myocardial infarction. Unaware of myocardial infarction can be divided into: (1) “Symptomatic” group: in the past two years have occurred similar to acute stem