One case report on acute myocardial infarction with new onset left branch block as the first electrocardiogram finding
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摘要: 急性心肌梗死的患者心电图以左前分支传导阻滞为首发现象的病例国内外均少见报道。现报道1例新发左前分支传导阻滞的胸痛患者,急诊造影提示回旋支完全闭塞,并对此进行思考。Abstract: Left anterior branch block as the first electrocardiogram phenomenon in patients with acute myocardial infarction is rarely reported at home and abroad. A case of chest pain with a new left anterior branch block was reported. Emergency angiography showed complete occlusion of the circumvoltaic branch.
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[1] 周小涛, 刘月娥, 荚恒娅. 急诊胸痛患者30 d内主要心血管不良事件预警模型的建立与评估[J]. 临床急诊杂志, 2022, 23(8): 557-565. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZLC202208003.htm
[2] 段赟, 刘聪, 胡正盼, 等. 冠状动脉功能学指标在ACS患者介入效果评估及不良心血管事件发生预测中的价值[J]. 临床急诊杂志, 2023, 24(4): 196-200. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZLC202304005.htm
[3] Widimsky P, Rohác F, Stásek J, et al. Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy?[J]. Eur Heart J, 2012, 33(1): 86-95. doi: 10.1093/eurheartj/ehr291
[4] 魏宇淼, 陈芬, 邓珊, 等. 心电图对应导联ST段压低在急性ST段抬高型心肌梗死诊治及预后价值的回顾性分析[J]. 临床心血管病杂志, 2015, 31(5): 501-504. https://lcxxg.whuhzzs.com/article/doi/10.13201/j.issn.1001-1439.2015.05.010
[5] 肖文颖, 汪宇, 张佳雨, 等. 不同梗死相关动脉完全闭塞的非ST段抬高型心肌梗死患者临床特征分析[J]. 实用心脑肺血管病杂志, 2022, 30(3): 8-11. https://www.cnki.com.cn/Article/CJFDTOTAL-SYXL202203002.htm
[6] 隗沫, 顾伟, 李昭, 等. 心电图aVR导联对急性非ST段抬高型心肌梗死的病变血管的预测价值及预后评估[J]. 临床急诊杂志, 2021, 22(7): 487-490.
[7] 黄兆红, 赵宏飞, 孙超, 等. 急性广泛前壁心肌梗死合并右束支及左前分支传导阻滞1例[J]. 江苏实用心电学杂志, 2012, 21(4): 279-282.
[8] Tereshchenko LG. Left anterior fascicular block: The need for a re-appraisal[J]. Int J Cardiol, 2018, 269: 31-32.
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