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自从1928年Feil发现心绞痛有ST压低和T波倒置以来,ST压低、T波倒置即被公认为心肌缺血的典型心电图表现。近年来,有的文献报道:某些冠心病、心绞痛患者的冠状动脉供血不足的心电图表现不是T波的倒置而是T波的高耸。我院见此非典型心电图3例,现将病例报告如下,并作简要讨论。例1 卢××,男,45岁,住院号124417。自1976年10月起,常因轻微劳累后感到胸闷、心慌、阵发性心前区疼痛,起初每次发作持续时间短,2—3秒钟,约至1977年4月发作次数增加,每次持续时间延长,有时可达20分钟,并向左肩放射,口含硝酸甘油后缓解。5月2日晚,因劳累后突然出现心前区痛,每隔10分钟发作一次,当晚急诊入院。查体:肥胖体
Since 1928, Feil found angina pectoris with ST depression and T wave inversion, ST depression, T wave inversion is generally recognized as a typical myocardial ischemia electrocardiogram. In recent years, some literature reports: some coronary heart disease, angina patients with coronary insufficiency ECG performance is not T wave inversion but T wave towering. The hospital to see this atypical electrocardiogram in 3 cases, the case report is as follows, and for a brief discussion. Example 1 Lu XX, male, 45 years old, hospital number 124417. Since October 1976, chest pain, palpitation and paroxysmal pain in the anterior pituitary often result from light exertion. At first, each episode lasts for a short time, 2-3 seconds, and the number of seizures increases from April 1977 to April 1977 Extended duration, sometimes up to 20 minutes, and to the left shoulder radiation, oral nitroglycerin relief. The evening of May 2, because of exertion after sudden onset of precordial pain, every 10 minutes attack, emergency admission hospital. Physical examination: obese body