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| Atrioventricular block in patients with acute inferior wall myocardial infarction and the infarction related artery |
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Abstract Atrioventricular block is a common complication of acute inferior wall myocardial infarction. Both of left and right coronary artery disease can lead to inferior wall myocardial infarction. Since coronary artery supplies blood flow to different sites and areas of myocardium, the degree and scope of myocardial infarction resulted from artery lesions are also different, corresponding to various ECG manifestations. Abundant clinical experience and electrocardiographic knowledge help to identify the infarction related coronary artery and determine the sites of occlusion(proximal end, middle or distal end) and also help to work out a reasonable emergency reperfusion therapy to save patients lives.
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| [1] Hira RS, Wilson JM, Birnbaum Y. Introducing a new algorithm in inferior STsegment elevation myocardial infarction to predict the culprit artery and distinguish proximal versus distal lesions[J]. Coron Artery Dis, 2011, 22(3)：165-170.[2] Moye S, Carney MF, Holstegec, et al. The electrocardiogram in right ventricular myocardial infarction[J]. Am J Emerg Med, 2005, 23(6)：793-799.[3] Fiol M, Cygankiewicz I, Carrillo A, et al. Value of electrocardiographic algorithm based on "ups and downs" of ST in assessment of a culprit artery in evolving inferior wall acute myocardial infarction[J]. Am J Cardiol, 2004, 94(6)：709-714.[4] Alzand BS, Gorgels AP. Combined anterior and inferior STsegment elevation. Electrocardiographic differentiation between right coronary artery occlusion with predominant right ventricular infarction and distal left anterior descending branch occlusion[J]. J Electrocardiol, 2011, 44(3)：383-388.[5] Kürüm T, Oztekin E, Ozelik F, et al. Predictive value of admission electrocardiogram for multivessel disease in acute anterior and anteriorinferior myocardial infarction[J]. Ann Noninvasive Electrocardiol, 2002, 7(4)：369-373.[6] Berger PB, Ryan TJ. Inferior myocardial infarction. Highrisk subgroups[J]. Circulation, 1990, 81(2)：401-411.[7] Jim MH, Chan AO, Tse HF, et al. Clinical and angiographic findings of complete atrioventricular block in acute inferior myocardial infarction[J]. Ann Acad Med Singapore, 2010, 39(3)：185-190. |
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2016, Vol. 25 
