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目的 总结应激性心肌病的心电图特点。方法 回顾性分析2019年1月至2023年12月在我院心内科住院确诊的应激性心肌病患者资料,观察心电图ST段、T波等动态演变。结果 共计入选7例女性患者,所有患者住院期间均观察到心电图存在动态演变。其中3例表现为V
2
~V
6
导联ST段抬高,所有病例在发病1~4天内出现不同导联的T波倒置,a VR导联均观察到T波直立现象,无1例出现V
1
导联T波倒置,无1例出现Q波(或q波),3例肢导联呈低电压,胸导联无病例检获低电压表现。结论 心电图a VR导联T波直立伴其他导联T波倒置,V
1
导联ST段不抬高、T波不倒置,全导联无Q波形成是应激性心肌病心电图较为特异的表现。
赵运涛.应激性心肌病心电图的再认识[J].心电图杂志(电子版),2015(02).
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Department of Cardiology, Kerckhoff Heart and Thorax Center, Benekestraße 2–8, 61231, Bad Nauheim, Germany,Department of Cardiology, Kerckhoff Heart and Thorax Center, Benekestraße 2–8, 61231, Bad Nauheim, Germany,grid.412764.2, 0000 0004 0372 3116, Division of Cardiology, Department of Internal Medicine, St. Marianna University, School of Medicine, 2-16-1 Sugao, Miyamae-ku, 216-8511, Kawasaki, Kanagawa, Japan,Department of Cardiology, Kerckhoff Heart and Thorax Center, Benekestraße 2–8, 61231, Bad Nauheim, Germany.Mechanisms of stress (Takotsubo) cardiomyopathy.[J].Nature reviews. Cardiology,2010.
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