摘要
急性心肌梗死的罪犯血管主要为前降支、左回旋支和右冠状动脉,单纯左回旋支闭塞常发生不典型的临床表现,容易漏诊和误诊。本文就左回旋支病变致急性心肌梗死的流行病学特征、临床表现、心电图改变、延迟再灌注治疗及预后做一综述。
The main culprit artery of acute myocardial infarction(AMI)are generally classified as left anterior descending coronary artery(LAD),left circumflex coronary artery(LCX),and right coronary artery(RCA).Single occlusion of the LCX is uncommon and often presents atypical clinical manifestations,which may confuse the diagnosis.The epidemiological characteristics,clinical manifestations,atypical electrocardiogram changes,delayed reperfusion treatment factors and prognosis of AMI caused by LCX were reviewed here.
作者
赵曙辉(综述)
黄颖(审校)
ZHAO Shu-hui;HUANG Ying(Department of Cardiology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,CHINA)
出处
《海南医学》
CAS
2021年第7期913-916,共4页
Hainan Medical Journal
关键词
急性心肌梗死
罪犯血管
左回旋支
临床表现
心电图
再灌注治疗
预后
Acute myocardial infarction(AMI)
Culprit artery
Left circumflex artery(LCX)
Clinical manifestations
Electrocardiogram
Reperfusion treatment
Prognosis