论文部分内容阅读
左室肥厚(LVH)伴ST压低及非对称T波倒置称为劳损,其中许多同时合并心肌缺血,作者对冠脉正常的LVH者ST-T形态做一评估。方法:冠脉正常(造影证实),左室肥厚(心动图证实)共24例,男18例,女6例。年龄31～72岁。8例有主动脉瓣疾病,16例有高血压,均无心肌梗塞史、室内传导缺陷和使用洋地黄。结果:约2/3(63%)有左室劳损,其中95%的有非对称性T波倒置。其余37%的病人前侧壁导联ST水平压低伴或不伴T波倒置或孤立性T波倒置(对称或非对称)。
Left ventricular hypertrophy (LVH) with ST depression and asymmetric T-wave inversion is called strain, and many of them also have myocardial ischemia. The authors assess the ST-T morphology of patients with normal coronary artery LVH. Methods: Coronary normal (confirmed by angiography), left ventricular hypertrophy (confirmed by cardiography), a total of 24 cases, 18 males and 6 females. Age 31 ~ 72 years old. 8 had aortic valve disease, 16 had hypertension, no history of myocardial infarction, conduction defects in the interior, and the use of digitalis. Results: About two-thirds (63%) had left ventricular strain, of which 95% had asymmetric T wave inversion. The remaining 37% of the anterior ST leads either ST-level depression with or without T-wave inversion or solitary T-wave inversion (symmetrical or asymmetrical).