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Early diagnostic value of ECG in anomalous origin of left coronary artery from pulmonary artery |
YU Fengqin, WANG Manping, LIU Ming |
(1. Department of Functional Inspection, Wuhan Asia General Hospital, Wuhan Hubei 430056; 2. Department of Cardiac Function, Wuhan Asia Heart Hospital, Wuhan Hubei 430022, China) |
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Abstract Objective To explore the early diagnostic value of ECG in anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Methods We selected 16 inpatients diagnosed with ALCAPA by surgery and 15 patients diagnosed with coronarypulmonary artery fistula (CAPAF) by coronary arteriography. They were divided into two groups; their general data and ECG characteristics were analyzed. Results There is no significant difference in gender between the two groups, but there are significant differences in age and ECG features. The onset age of ALCAPA patients is earlier than that of CAPAF patients; ECGs of the former are mainly manifested by abnormal Q waves in leads Ⅰ and aVL, and ST-T changes while ECGs of the latter seldom show characteristic manifestation. Conclusion ALCAPA patients are associated with younger onset age and obvious ECG characteristics which helps to make early diagnosis.
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