中国全科医学 ›› 2020, Vol. 23 ›› Issue (21): 2719-2723.DOI: 10.12114/j.issn.1007-9572.2020.00.362

所属专题: 心肌梗死最新文章合集 心血管最新文章合集

• 专题研究 • 上一篇    下一篇

急性ST段抬高型心肌梗死全程心电图表现并“de Winter”探讨

褚庆民1,唐娜2,金政1,李荣1*   

  1. 1.510405广东省广州市,广州中医药大学第一附属医院心血管科 2.510406广东省广州市白云区三元里街社区卫生服务中心 *通信作者:李荣,主任医师;E-mail:15916372@qq.com
  • 出版日期:2020-07-20 发布日期:2020-07-20
  • 基金资助:
    广东省自然科学基金资助项目(2017A030313745);广东省中医药局项目(20181087);广东省医学科学技术研究基金项目(A2018222)

Electrocardiograms with de Winter syndrome of acute ST-segment elevation myocardial infarction during the whole period of treatment

CHU Qingmin1,TANG Na2,JIN Zheng1,LI Rong1*   

  1. 1.Department of Cardiology,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China 2.Baiyun District Sanyuanli Subdistrict Community Health Center,Guangzhou 510406,China *Corresponding author:LI Rong,Chief physician;E-mail:15916372@qq.com
  • Published:2020-07-20 Online:2020-07-20

摘要: de Winter心电图表现被视为急性ST段抬高型心肌梗死(STEMI)的心电图,证据源于患者临床冠状动脉造影提示左前降支(LAD)近端严重狭窄或完全闭塞,这与既往STEMI典型四期心电图表现内在关系如何不明确。本文收集了1例急性STEMI患者全程心电图演变及国内外相关文献,试分析急性STEMI与de Winter心电图的内在联系,旨在为进一步认识de Winter心电图提供新思路。

关键词: 心肌梗死, de Winter, 急性病, 心电描记术, 冠状动脉闭塞

Abstract: The de Winter electrocardiogram(ECG) pattern is considered as the ECG manifestation for acute ST-segment elevation myocardial infarction (STEMI),based on the evidence of clinical coronary angiography suggested severe proximal stenosis or complete occlusion of the anterior descending branch,and its intrinsic relationship with the typical four-stage ECG findings of STEMI is not clear.In this paper,we analyzed the changes on the ECGs with de Winter pattern of a case of acute STEMI during the whole period of treatment,and reviewed relevant studies,then assessed the relationship between acute STEMI and de Winter ECG,in order to provide new ideas for the further understanding of de Winter ECG.

Key words: Myocardial infarction, de Winter, Acute disease, Electrocardiography, Coronary occlusion