一名 RBBB 患者的前 ST 波抬高

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of electrocardiology Pub Date : 2024-08-10 DOI:10.1016/j.jelectrocard.2024.153771

Yochai Birnbaum MD , Kjell Nikus MD

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引用次数: 0

摘要

一名有冠心病史的 79 岁男性因胸痛到急诊科就诊。心电图显示 RBBB，ST 轻度抬高，I、aVL 和 V2 呈阳性 T 波。在 RBBB 患者中，前导联缺乏 ST 压低和 T 波倒置，这可能意味着继发于左前降支冠状动脉闭塞的缺血。然而，该患者并没有急性冠状动脉综合征，其心电图与五年前记录的心电图相似。

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Anterior ST elevation in a patient with RBBB

A 79-year-old male with a history of coronary artery disease presented to the Emergency Department with chest pain. ECG showed RBBB with mild ST elevation and positive T waves in I, aVL and V2. In patients with RBBB lack of ST depression and T wave inversion in the anterior leads could signify ischemia secondary to left anterior descending coronary artery occlusion. However, the patient did not have acute coronary syndrome and the presenting ECG was comparable to an ECG recorded five years earlier.

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来源期刊

Journal of electrocardiology 医学-心血管系统

CiteScore

2.70

自引率

7.70%

发文量

152

审稿时长

38 days

期刊介绍： The Journal of Electrocardiology is devoted exclusively to clinical and experimental studies of the electrical activities of the heart. It seeks to contribute significantly to the accuracy of diagnosis and prognosis and the effective treatment, prevention, or delay of heart disease. Editorial contents include electrocardiography, vectorcardiography, arrhythmias, membrane action potential, cardiac pacing, monitoring defibrillation, instrumentation, drug effects, and computer applications.