Electrocardiographic abnormalities in patients with acute aortic dissection.
Electrocardiographic abnormalities in patients with acute aortic dissection.
复制标题
急性主动脉夹层患者心电图异常。
DOI：
10.1016/s0002-9149(99)80342-7
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
H. Asato
中科院分区：
文献类型：
--
作者：
K. Hirata;M. Kyushima;H. Asato
总之，急性心电图改变在急性主动脉夹层患者中并不少见。提示主动脉夹层的急性心电图改变至少由以下3种机制之一引起：（1）冠状动脉口受累;（2）休克状态，尤其是填塞;（3）既往存在的冠状动脉疾病。我们认为，医师不仅应注意心电图正常的胸痛患者，而且也应注意心电图改变的患者。
In conclusion, acute electrocardiographic changes were not uncommon in patients with acute aortic dissection. It was suggested that acute electrocardiographic changes in aortic dissection resulted from at least 1 of the following 3 mechanisms: (1) involvement of the ostium of the coronary artery; (2) shock state, especially tamponade; and (3) preexisting coronary artery disease. We believe that physicians should be aware of the possibility of acute aortic dissection not only in patients with chest pain with a normal electrocardiogram, but also in those with electrocardiographic changes.