课件：急性冠脉综合症和心脏性猝死的防治进展.ppt

后面内容直接删除就行 资料可以编辑修改使用 资料可以编辑修改使用 资料仅供参考，实际情况实际分析 主要经营：课件设计，文档制作，网络软件设计、图文设计制作、发布广告等 秉着以优质的服务对待每一位客户，做到让客户满意！ 致力于数据挖掘，合同简历、论文写作、PPT设计、计划书、策划案、学习课件、各类模板等方方面面，打造全网一站式需求 * * Before discussing ST segment elevation in each individual clinical entity, I would like to to briefly review the cellular mechanisms for ST segment elevation and related Repolarization waves on the ECG. Based on biophysical principles of ECG recording, any wave on the body surface ECG represents a coincident voltage gradient generated by cellular electrical activity within the heart. The ST segment is the tracing immediately succeeding the QRS complex that extends until the beginning of the T wave. Normally, the ST segment stays at the same level as the T-P segment. In the two ends of the ST segment, QRS represents ventricular activation, whereas the T wave is the symbol of ventricular repolarization. Ventricular activation normally starts with endocardial depolarization and propagates to the epicardium, generating a large voltage gradient that manifests as the QRS complex on the surface ECG. Because the epicardium normally depolarizes last, the epicardial action potential notch may produce a J wave immediately following the QRS on the surface ECG. Sometimes, the J wave is partially buried inside of the QRS that manifests as J point elevation. It should be emphasized that the J wave generated by the the right ventricle is completely buried inside of the QRS as seen in right precordial leads V1 to V3 under normal condition. When action potentials at all of myocardial layers reach a plateau phase, generating little voltage gradient that is correspondent to an isoelectric ST segment. Therefore, any potential difference across the ventricular wall during plateau phase may cause the displacement of ST segment. * When the epicardium is further depolarized, it may lose its excitation. The ST segment elevation under this condition resembles action potential configuration itself. * * * * * * * 急性冠脉综