摘要
目的对急性心肌梗死合并完全性左束支传导阻滞的各种心电图表现进行分析和讨论。方法观察20例急性心肌梗死合并完全性左束支传导阻滞临床心电图表现。结果急性心肌梗死合并完全性左束支传导阻滞的心电图表现多样。结论胸痛患者如果合并左束支传导阻滞时,要高度警惕AMI,详细询问病史,观查ECG动态演变,监测心肌坏死标志物CTnI,只有这样才能避免漏诊和误诊。
Objective Analyse and the discuss each kind of electrocardiogram performance of acute myocardial infarction merge complete left bundle branch block. Methods Observe electrocardiogram performance of 20 examples of acute myocardial infarction merge complete left bundle branch block, Results The electrocardiogram performance of acute myocardial infarction merge complete left bundle branch is diverse. Conclusion When chest pain patient merges Complete left bundle branch, must highly vigilant AMI, inquire the medicalhistory in detail, inspect the ECG dynamic evolution, monitor cardic musclenecrosis marker CTnI, only do this, leaking examines and misdiagnoses can be avoided.
关键词
急性心肌梗死
完全性左束支传导阻滞
Acute myocardial infarction Complete left bundle branch block