Electrocardiographic Diagnosis of Left Main Coronary Artery Obstruction Using ST-Segment and QRS-Complex Vector Analysis

作者: José A. Prieto-Solís , Natividad Benito , Rafael Martín-Durán

DOI: 10.1016/S1885-5857(08)60089-4

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摘要: Introduction and objectives It is vital that obstruction of the left main coronary artery (LMCA) diagnosed early. We investigated value ST-segment QRS-complex vector analysis in identifying LMCA acute syndrome. Methods The study involved 57 consecutive patients with electrocardiographic features suggestive obstruction. Both parameter vectors were analyzed. Results Coronary angiography showed obstructed vessel was 20 patients, circumflex 19, right 10, anterior descending 3. Five had 3-vessel disease. An ST directed between –90° 180° frontal plane observed 100% an (P Conclusions In syndrome, can predict presence

参考文章(23)
Anton P.M. Gorgels, Hein J.J. Wellens, Pieter A. Doevendans, The ecg in acute myocardial infarction and unstable angina : diagnosis and risk stratification Kluwer Academic Publishers. ,(2003)
J. ATIE, P. BRUGADA, J. BRUGADA, J. L. R. M. SMEETS, F. E. CRUZ, M. P. ROUKENS, A. GORGELS, F. W. H. M. BĀR, H. J. J. WELLENS, Clinical presentation and prognosis of left main coronary artery disease in the 1980s European Heart Journal. ,vol. 12, pp. 495- 502 ,(1991) , 10.1093/OXFORDJOURNALS.EURHEARTJ.A059929
Kevin J. Boran, Rene A. Oliveros, Charles A. Boucher, Charles H. Beckmann, John F. Seaworth, Ischemia-associated intraventricular conduction disturbances during exercise testing as a predictor of proximal left anterior descending coronary artery disease American Journal of Cardiology. ,vol. 51, pp. 1098- 1102 ,(1983) , 10.1016/0002-9149(83)90352-1
K. Peter Rentrop, Marc Cohen, Heiner Blanke, Robert A. Phillips, Changes in collateral channel filling immediately after controlled coronary artery occlusion by an angioplasty balloon in human subjects Journal of the American College of Cardiology. ,vol. 5, pp. 587- 592 ,(1985) , 10.1016/S0735-1097(85)80380-6
ROBERT P. GRANT, Spatial Vector Electrocardiography Circulation. ,vol. 2, pp. 676- 695 ,(1950) , 10.1161/01.CIR.2.5.676
José A Prieto Solís, Camilo González Fernández, Miguel A Hernández Hernández, José M de la Torre Hernández, Javier Llorca Díaz, None, Predicción electrocardiográfica de la localización de la lesión en la arteria descendente anterior en el infarto agudo de miocardio Revista Espanola De Cardiologia. ,vol. 55, pp. 1028- 1035 ,(2002) , 10.1016/S0300-8932(02)76752-3