胸痛的诊断与鉴别诊断2.pptVIP

* * 21届长城会 * 续上页 ST elevation/reciprocal changes Acute Inferior MI with reciprocal ST depression reciprocal changes seen in 70% inferior and 30% anterior acute MI strongly suggestive of acute MI with PPV 90% ST depression ST depression can initially be a subtle flattening of the ST segment, or may present as classic horizontal or down sloping changes with severe ischemia. amount of ST depression usually relates to size of R wave DDx includes LVH and Digoxin 其他高危胸痛患者 * 1，急性主动脉夹层 撕裂样疼痛； 可出现休克。 不治疗者，早期死亡率每小时达1% 。 主动脉夹层 70岁以上的男性占75