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电轴正常时单独Ⅲ导联Q波对右冠严重病变辅助诊断1例

康锦花,龙文杰,杨忠奇,褚庆民,刘晴晴,宁怡乐

Chinese Heart Journal（2021）

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Abstract
冠心病(coronary arterydisease,CAD)是全球发病率较高的疾病之一,而体表心电图可快速对心肌缺血和梗死进行诊断,具有多项优点,是临床最常用的检查手段[1]. 下壁心肌缺血、梗死时体表心电图上多表现为Ⅱ、Ⅲ、aVF出现ST-T段改变、病理性Q波[2].研究表明下壁单、双导联,特别是Ⅲ[导联出现病理性Q波,则提示冠心病的可能性大[3].本文将报道一例在电轴正常时,单独Ⅲ导联Q波辅助诊断右冠严重病变的病例.
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