Abstract:As a simple and feasible inspection method,electrocardiogram(ECG) has vital significance for the diagnosis and treatment of coronary heart disease(CHD). This paper breifly illustrates the roles ECG plays in the identification of CHD diseased region, infarct-related vascellum, staging and prognosis and also in the instruction treatment scheme of CHD.CHD seriously affects the quality of life of patients, however eary identification and proper treatment will bring benefits for them. With the help of ECG, CHD can be identified at an early stage and given proper treatment clinically.
[1] 赵文雪,孙烈,杨季明,等.心电图ST-T段改变的动态变化对诊断冠心病的价值[J].现代医学,2008,36(6):456-457.[2] 赵丽君.急性心肌梗死心电图的再认识[J].实用心电学杂志,2009,18(6):451-452.[3] Zimetbaum PJ,Krishnan S,Gold A,et al.Usefulness of ST-segment elevation in lead Ⅲ exceeding that of lead Ⅱ for identifying the location of the totally occluded coronary artery in inferior wall myocardial infarction[J]. Am J Cardiol,1998,81(7):918-919. [4] Robalino BD,Whitlow PL,Underwood DA,et al.Electrocardiographic manifestations of right ventricular infarction[J].Am Heart J,1989,118(1):138-144. [5] 李晓红,张晶,胥磊,等.ΣSTV1-V3↓/ΣSTⅡ、Ⅲ、aVF↑指标在识别急性下壁心肌梗死罪犯血管中的价值[J].中国心脏起搏与心电生理杂志,2012,26(2):140-143.[6] Martínez-Dolz L,ArnauM A,Almenar L,et al.Usefulness of the electrocardiogram in predicting the occlusion site in acute anterior myocardial infarction with isolated disease of the left anterior descending coronary artery[J].Rev Esp Cardiol,2002,55(10):1036-1041.[7] Kosuge M,Ebina T,Hibi K,et al.Early, accurate, non-invasive predictors of left main or 3- vessel disease in patients with non-ST-segment elevation acute coronary syndrome[J].Circ J,2009,73(6):1105-1110.[8] Vesterinen P,Väänänen H,Stenroos M,et al.Localization of prior myocardial infarction by repolarization variables[J].Int J Cardiol,2008,124(1):100-106.[9] Vasaiwala SC,Schreiber R.Posterior myocardial infarction: unique diagnosis to an elusive problem[J].Am J Emerg Med,2008,26(4):520.e5-520.e6.[10] Tu CM,Chu KM,Cheng CC,et al.Acute in-stent coronary thrombosis without ST change on electrocardiography: a case report and literature review[J].South Med J,2010,103(3):239-241.[11] Derkacz A,Bajkacz E,Kotynia A,et al.Changes in electrocardiographic and angiographic images in the course of myocardial infarction[J].Kardiol Pol,2011,69(2):160-162.[12] Karabag T,Dogan SM,Aydin M,et al.The value of P wave dispersion in predicting reperfusion and infarct related artery patency in acute anterior myocardial infarction[J].Clin Invest Med,2012,35(1):E12-E19.[13] García-García C,Subirana I,Sala J,et al.Long-term prognosis of first myocardial infarction according to the electrocardiographic pattern (ST elevation myocardial infarction,non-ST elevation myocardial infarction and non-classified myocardial infarction) and revascularization procedures[J].Am J Cardiol,2011,108(8):1061-1067.[14] Lin XM,Yang XL,Liu HL,et al.Clinical assessment of Tpeak-end interval for prediction of myocardial infarction[J].Nan Fang Yi Ke Da Xue Xue Bao,2010,30(9):2169-2170.[15] Ngako A,Santin A,Hémery F,et al.Prediction of myocardial infarction risk in older patients with acute coronary syndrome[J].Am J Emerg Med,2009,27(6):675-682.[16] Frisch DR,Giedrimas E,Mohanavelu S,et al.Predicting irreversible left ventricular dysfunction after acute myocardial infarction[J].Am J Cardiol,2009,103(9):1206-1209.[17] Kosuge M,Kimura K,Ishikawa T,et al.Predictors of left main or three-vessel disease in patients who have acute coronary syndromes with non-ST-segment elevation[J].Am J Cardiol,2005,95(11):1366-1369.[18] Aygul N,Ozdemir K,Tokac M,et al.Value of lead aVR in predicting acute occlusion of proximal left anterior descending coronary and in-hospital outcome in ST-elevation myocardial infarction: an electrocardiographic predictor of poor prognosis[J].J Electrocardiol,2008,41(4):335-341.[19] Slavich G,Spedicato L,Poli S,et al.ECG and ST-elevation myocardial infarction in multivessel coronary disease[J].G Ital Cardiol (Rome),2010,11(12):910-914.[20] Smalcelj A.Electrocardiography in the diagnostics of acute myocardial infarction with ST elevation[J].Acta Med Croatica,2009,63(1):9-14.[21] Pandey R,Gupta NK,Wander GS.Diagnosis of acute myocardial infarction[J].J Assoc Physicians India,2011,59(Suppl):8-13.