张晓江,颜红兵,柯元南,王健,赵汉军,李庆祥,李世英

• 1:首都医科大学附属北京安贞医院28病房
• 2:卫生部中日友好医院

摘要(Abstract)：

目的总结体表心电图(ECG)判断ST段抬高心肌梗死(STEMI)患者的梗死相关动脉(IRA)的流程,确定其敏感性、特异性和准确性。方法入选896例STEMI患者。根据公认的ECG判断标准,制订相应流程,判断IRA及其具体部位,并与即刻冠状动脉造影对比,确定流程的敏感性、特异性和准确性。结果判断左主干病变的敏感性为100%、特异性99%和准确性99%;判断前降支病变的敏感性、特异性和准确性分别为99%、99%和99%,其中近段为84%、90%和88%,中远段为57%、94%和88%;判断回旋支病变的敏感性、特异性和准确性分别为64%、95%和91%;判断右冠状动脉病变的敏感性、特异性和准确性为89%、92%和91%,其中近段为51%、96%和88%,中远段为68%、92%和85%。结论本研究的流程可以准确判断左主干、前降支和右冠状动脉近段病变,但区分回旋支和右冠状动脉中远段病变时有一定限度。

关键词(KeyWords)： 心电描记术;心肌梗死;冠状血管造影术

Abstract:

Keywords:

基金项目(Foundation): 北京市科委首都紧急心血管事件救治系统研究(D0905002040411)

作者(Author): 张晓江,颜红兵,柯元南,王健,赵汉军,李庆祥,李世英

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