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合并右束支传导阻滞急性心肌梗死患者的冠脉病变特征和临床特点 被引量：1

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摘要 目的:探讨合并右束支传导阻滞(RBBB)急性心肌梗死患者的冠脉病变特征和临床特点。方法:急性心肌梗死患者352例,按是否合并RBBB分为两组,其中RBBB组48例,非RBBB组304例,观察急性心肌梗死伴RBBB患者心肌梗死部位及梗死相关动脉的特点、RBBB组和非RBBB组间血清肌酸激酶(CK)和肌酸激酶同功酶(CK-MB)峰值、心功能K illip分级、严重心律失常发生率及住院期间病死率。结果:RBBB组梗死部位多为前壁或广泛前壁,梗死动脉多为前降支近端;RBBB组CK和CK-MB峰值、心功能K illip分级、恶性心律失常发生率、院内病死率均高于非RBBB组(均P<0.05)。结论:急性心肌梗死出现RBBB多提示前降支近端闭塞,梗死面积大,病情重,易发生心衰和恶性心律失常,预后差。
作者 李俊萍 祁美萍
机构地区 包头医学院第一附属医院心内二科
出处 《包头医学院学报》 CAS 2009年第1期53-54,共2页 Journal of Baotou Medical College
关键词 急性心肌梗死 右束支传导阻滞 前壁 前降支近端闭塞
分类号 R542.22 [医药卫生—心血管疾病] R541.7 [医药卫生—心血管疾病]
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共引文献14

同被引文献20

  • 1Tameem Hamood Mohammed Alshami,欧阳茂,杨侃,蒋卫红,曹宇,张志辉,张梦玺.完全性左束支传导阻滞患者的临床和冠状动脉造影分析[J].晓庄学院学报（医学版）,2007,4(1):47-48. 被引量：4
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包头医学院学报
2009年 第1期

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