ST-segment deviation on predicting the culprit artery or culprit lesion in acute myocardial infarction
- VernacularTitle:ST段偏移模式预测急性心肌梗死罪犯血管和罪犯病变部位
- Author:
Xiangfei WANG
;
Yan YAN
;
Qibing WANG
;
Junbo GE
;
- Publication Type:Journal Article
- Keywords:
Acute myocardial infarction;
Electrocardiogram;
Culprit artery;
Culprit fart
- From:
Chinese Journal of Emergency Medicine
2006;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study ST-segment deviation on predicting culprit artery or culprit lesion in acute myocardial infarction(AM/).Methods The study population included patients with AMI who subsequently underwent coronary angiography during hospitalization.Culprit artery and culprit parts were evaluated,and ST-segment characteristics were analyzed.Results A higher ST-segment elevation in leadⅢthan in leadⅡand ST-segment depression＞1 mm in lead aVL or lead I were highly sensitive(75%)and specific(100%)markers for right coronary artery-related AMI.ST-segment depression＞1 mm in leadⅡ,Ⅲand aVF was lowly sensitive(39%)and highly specific (93%)marker for the left anterior descending artery-related AMI.Conclusion The culprit artery or culprit lesion coutd be predicted by using electrocardiogram at admission.
