ATYPICAL ELECTROCARDIOGRAM IN ACUTE PERICARDITIS - CHARACTERISTICS AND PREVALENCE
ATYPICAL ELECTROCARDIOGRAM IN ACUTE PERICARDITIS - CHARACTERISTICS AND PREVALENCE
复制标题
DOI：
10.1016/s0022-0736(80)80011-2
复制
发表时间：
1980-01-01
影响因子：
1.3
通讯作者：
SPODICK, DH
中科院分区：
文献类型：
--
作者：
BRUCE, MA;SPODICK, DH
当ST段偏离通常分布在四肢和胸前心电轨迹上时，1期ST段偏离实际上是急性心包炎的诊断。不典型的心电图反应包括ST段无异常，这掩盖了诊断，ST段异常的分布受限，提示心肌损伤。44例急性心包炎患者中，19例(43%)出现不典型心电图。尽管所有19例患者都有心包摩擦，但8例肢体导联无ST段异常，7例未出现ST段改变，其中3例无任何类型的心电图异常。ST段标准典型的患者更有可能进展为T波倒置。14例典型的患者和14例不典型的患者出现PR段偏移。后者中4例仅有PR段移位的心电图征象。有无心脏病和心包炎的病因与特定的心电反应在统计学上没有相关性。
Stage 1 ST segment deviations are virtually diagnostic of acute pericarditis when typically distributed among limb and precordial ECG tracings. Atypical ECG responses include absence of ST deviations, which conceals the diagnosis, and restricted distribution of ST deviations, which suggests myocardial injury. Among 44 patients with acute pericarditis, 19 (43%) had atypical ECG. Although all 19 had a pericardial rub, 8 had no ST deviations in the limb leads and 7 did not developed ST changes, including 3 with no ECG abnormalities of any kind. Patients with typical ECG by ST segment criteria were more likely to progress to T wave inversion. PR segment deviations occurred in 14 patients with typical, and 14 with atypical ECG. In 4 of the latter, the PR segment shifts were the only ECG sign. Presence or absence of heart disease and etiology of pericarditis could not be statistically associated with particular ECG responses.