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Clinical value and identification of ST segment elevation in ambulatory electrocardiogram |
XU Jin-lan,GUO Mei-qin,WANG Xiao-hua,CHU Cheng-hua |
Department of Electrocardiogram, the People′s Liberation Army No.92 Hospital, Nanping Fujian 353000,China |
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Abstract Objective To explore the clinical value of ST segment elevation in 24hour ambulatory electrocardiogram(AECG). Methods A total of 111 cases with ST segment elevation were divided into four groups,that is, angina group,Brugada wave group,pericarditis group and early repolarization variability group. The dynamic electrocardiogram were compared between four groups.Results In angina group,ST segment elevation was associated with patients onset of symptoms and attack time;In pericarditis group,all leads were continuously elevated. Althoughthe ST segment elevation in remaining two groups had dynamic changes and was not synchronous with the onset of symptoms,it was associated with the dynamic and static state of patients per se.Conclusion Combined with the clinical symptoms and patients dynamic and static state, ST segment elevation and form,distribution lead is the key factor of identifying the nature of ST segment elevation in AECG.
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Received: 25 February 2013
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