2001中华心律失常学杂志Requires access

Combination of generalized PR segment depression with ST segment elevation_an characteristic change of electrocardiography in early acute pericarditis

王慕璇, Hong Ma, 蔡晓英, 朱维琪, 周晓澜, Li Li

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Abstract

目的探讨急性心包炎心电图PR段的改变并对相关因素分析.方法对78例急性心包炎患者不同时间记录的首次心电图进行分析,测量各导联PR段和ST段改变的方向和幅度,测量心率,并探讨PR段改变与ST段改变以及与心率的关系.以78例早期复极综合征为对照.结果78例急性心包炎患者中,55例(75.1%)在I、Ⅱ、Ⅲ、aVF、V3~V6导联普遍出现PR段下移,aVR导联出现PR段抬高,aVL导联仅3例有PR段改变.上述导联PR段下移幅度为о.05~0.15 mV.第1次记录中69例(87.2%)出现I、Ⅱ、Ⅲ、aVF、V3~V6导联ST段抬高.普遍导联PR段下移伴随ST段抬高的检出率在发病第ld记录的心电图中最高,随后记录的心电图中逐渐降低.PR段的下移与心率无关.在早期复极综合征中仅2.6%记录到PR段下移.结论普遍导联PR段下移伴随ST段抬高是急性心包炎早期心电图的特征性改变.

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What this paper is about

目的探讨急性心包炎心电图PR段的改变并对相关因素分析.方法对78例急性心包炎患者不同时间记录的首次心电图进行分析,测量各导联PR段和ST段改变的方向和幅度,测量心率,并探讨PR段改变与ST段改变以及与心率的关系.以78例早期复极综合征为对照.结果78例急性心包炎患者中,55例(75.1%)在I、Ⅱ、Ⅲ、aVF、V3~V6导联普遍出现PR段下移,aVR导联出现PR段抬高,aVL导联仅3例有PR段改变.上述导联PR段下移幅度为о.05~0.15 mV.第1次记录中69例(87.2%)出现I、Ⅱ、Ⅲ、aVF、V3~V6导联ST段抬高.普遍导联PR段下移伴随ST段抬高的检出率在发病第ld记录的心电图中最高,随后记录的心电图中逐渐降低.PR段的下移与心率无关.在早期复极综合征中仅2.6%记录到PR段下移.结论普遍导联PR段下移伴随ST段抬高是急性心包炎早期心电图的特征性改变.

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Available abstract

目的探讨急性心包炎心电图PR段的改变并对相关因素分析.方法对78例急性心包炎患者不同时间记录的首次心电图进行分析,测量各导联PR段和ST段改变的方向和幅度,测量心率,并探讨PR段改变与ST段改变以及与心率的关系.以78例早期复极综合征为对照.结果78例急性心包炎患者中,55例(75.1%)在I、Ⅱ、Ⅲ、aVF、V3~V6导联普遍出现PR段下移,aVR导联出现PR段抬高,aVL导联仅3例有PR段改变.上述导联PR段下移幅度为о.05~0.15 mV.第1次记录中69例(87.2%)出现I、Ⅱ、Ⅲ、aVF、V3~V6导联ST段抬高.普遍导联PR段下移伴随ST段抬高的检出率在发病第ld记录的心电图中最高,随后记录的心电图中逐渐降低.PR段的下移与心率无关.在早期复极综合征中仅2.6%记录到PR段下移.结论普遍导联PR段下移伴随ST段抬高是急性心包炎早期心电图的特征性改变.

Key concepts: Acute pericarditis, Electrocardiography, ST segment, Benign early repolarization, Medicine, Pericarditis, ST elevation, Depression (economics)

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Combination of generalized PR segment depression with ST segment elevation_an characteristic change of electrocardiography in early acute pericarditis — Research Paper | ScholarLens