ECG ST segment elevation and differential diagnosis of the clinical significance of.doc

 PAGE \* MERGEFORMAT 7 ECG ST segment elevation and differential diagnosis of the clinical significance of [Abstract] Objective ECG ST segment elevation and differential diagnosis of clinical significance. Data in clinical ECG ST segment , avL was raised under the slanting in V2 ~ V6 was horizontal elevation, and fusion with the formation of T wave forelimb single curve, ST segment in , , avF goes to slanting down, figure no abnormal Q wave ECG review .3 days (figure, showing the normal ECG. Conclusions ECG ST segment changes must be combined with a variety of clinical heart identification of disease due to ECG changes. [Keywords:] ECG ST segment elevation in pericarditis, cerebrovascular accident in acute pulmonary embolism with acute myocardial infarction acute coronary syndrome 1 Clinical data Female patient, 47 years old. Sudden headache, confusion 2 days after admission. No previous history of hypertension and diabetes. Admission physical examination: T37.2 , R24 beats / min, P125 beats / min, BP107/66mmHg. Since the onset , patients with persistent confusion, neck resistance, nasolabial fold symmetry, skew-free mouth, as lack of heart, heart rate 125 beats / min, the whole law, the valve auscultation area is not known and pathological murmurs, abdomen is soft, the liver spleen ribs no time, there bowel sounds, lower limbs muscle strength / 6, Pakistan’s sign (+. CT said: SAH. DSA said: intracranial aneurysms. no significant coronary angiography occlusion. Laboratory tests: AST 148u / L, ALT 50u / L, CK 1177u / L, CK-MB 38u / L, LDH 1106u / L, HBDH 330u / L, troponin 5.72ug / L. Partial white blood cell count higher than normal, serum potassium, sodium, chloride, calcium in the normal range. electrocardiogram (Figure 1 showed: sinus rhythm, P upright, PavR inversion, P-QRS-T wave group appear in sequence, the frequency of 125 beats / min, PR interval 0.12S, QRS time 0.08S, QT interval 0.33S. unbiased axis. ST segment in the , avL lead w