ECG analysis of atypical myocardial infarction.docVIP

 PAGE \* MERGEFORMAT 5 ECG analysis of atypical myocardial infarction [Abstract] Objective To investigate the atypical myocardial infarction in the ECG of the performance and clinical significance. Method of randomly selected hospital in January 2006 -2008 year in January out-patient diagnosis of acute myocardial infarction in 57 cases, the clinical data and ECG were discussed. Results 57 patients with acute myocardial infarction patients, 20 cases of atypical electrocardiogram patterns, accounting for 35.08%. Conclusions are familiar with and master of atypical myocardial infarction ECG morphological changes of acute myocardial infarction diagnosis, treatment and prognosis is essential. [Keywords:] atypical myocardial infarction; diagnosis; ECG In this paper, our hospital in January 2006 -2,008 1 in outpatients diagnosed with acute myocardial infarction in patients with ECG analysis of 57 cases is as follows. 1 Data and methods 1.1 General information on this group are in line with WHO diagnostic criteria for myocardial infarction, male 33 cases, female 24 cases; aged 46 to 78 years, mean 55.6 years old; Past medical history: hyperlipidemia in 14 cases, 10 cases of hypertension, diabetes mellitus 11 cases, coronary heart disease in 17 cases, 6 cases had no such history. 1.2 Methods ECG were performed in this group. Atypical electrocardiogram in acute myocardial infarction performance of selected conditions: (1) quiet state of mind no obvious incentive to appear before the District, the sternum or upper abdomen after severe persistent (greater than 30min) for pain, or with chest tightness, by rest and nitroglycerin null and void; (2) measurement of serum CK-MB levels increased within 4h after the onset, 16 ~ 24h reached the peak (peak early thrombolytic therapy can), then decreased gradually returned to normal 3 to 4 days; (3) 24h disease without myocardial infarction within the site-related ECG leads ST segment elevation and pathologic Q waves. 2 Result