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急性下壁心肌梗塞有某些高危亚组,如老年及右室受累(RVI)的患者。该文比较老年急性下壁心肌梗塞患者伴或不伴RVI时的住院结果。 方法 首次发生Q波型急性下壁心肌梗塞的≥75岁的老年患者198例。伴RVI的诊断标准为心电图示V_3R、V_4R的ST段抬高≥0.1mV和(或)急性期(48小时内)超声心动图检出右室游离壁运动异常或右室扩张。12例因发病到进入CCU时间>48小时合并完全右束支阻滞或起搏心律而除外。进
Acute inferior myocardial infarction has certain high-risk subgroups, such as elderly and right ventricular involvement (RVI). This article compares hospitalization outcomes with or without RVI in elderly patients with acute inferior myocardial infarction. Methods The first incidence of Q-wave acute inferior myocardial infarction in ≥75 years of elderly patients 198 cases. Diagnostic criteria for RVI were electrocardiographic V_3R, ST elevation in V_4R ≥ 0.1 mV and / or acute (within 48 hours) echocardiographic abnormalities in right ventricular free wall or right ventricular dilatation. 12 patients with onset to enter the CCU> 48 hours combined with complete right bundle branch block or pacemaker except. Enter