左主干病变ACS心电图的识别课件.ppt

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2025-02-13 发布于北京
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左主干病变ACS心电图的识别课件.ppt

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*多数情况下，心脏血流分布呈右优势型左心室供血左主干占60％～100％*Whenwehearofsuddendeathfromaheartattack,especiallyamongtheyoungerpatients,thisisusuallycausedbyleftmaindisease.Andmanytimes,withouttheclassicalsymptomsofchestpains,oranyindicationatallthatthereisablockageinthecoronaryartery.Teniente-ValenteR,Lemarroy-MendozaL,Mendoza-GómezR,Solórzano-ZepedaFJetal

Leftmaincoronaryarterydisease.Clinicalfeatures,morbilityandmortalityduringcardiaccatheterizationandsurgeryresults

Originaltitle:Enfermedaddeltroncodelaarteriacoronariaizquierda.Característicasclínicas,morbilidadymortalidadduranteelcateterismocardiacoyresultadosdelacirugía

RevMexCardiol2003;14(3):86-93

ABSTRACTObjectives:Toknowtheclinicalcharacteristicsbeforesurgery,morbilityandmortalityduringthecardiaccatheterizationandsurgeryresultsoftheleftmaincoronaryartery(LMCI).Methods:OfthecardiaccatheterizationfromJanuary1997toJuly2002weselectedthecaseswithobstructivediseaseoftheLMCIwithluminalnarrowingofatleast50%.Results:In1,946patientswhounderwentcoronaryangiographytherewere47caseswithLMCI(2.4%).Fivefileswerenotfoundandwereexcluded,leaving42cases,10womenand32men,averageage62.6years(44to78).71.4%hadelevationofserumcholesterol,69%weresmokersand62.4%hypertension.21patients(50%)hadstableangina,15patients(37.5%)hadunstableanginaand6patients(14.3%)hadacutemyocardialinfarction.17patients(40.5%)hadECGevidenceofremotemyocardialinfarction.Exercisetestingfor25patientswaspositivein88%andinthe55%ST-Tdepressionwas2ormoremm.Theaverageoftheleftventricularend-diastolicpressurewas11.1mmHg(0to40).Theaverageejectionfractionwas60.4%(18to87).Leftanteriordescendingwassickin80.9%,circumflexin71.4%andrightcoronaryin66.6%.In19patientsleftventriculogramwasabnormal.