NGHIÊN cứu GIÁ TRỊ điện tâm đồ TRONG VIỆC xác ĐỊNH vị TRÍ tắc NGHẼN ĐỘNG MẠCH VÀNH ở BỆNH NHÂN NHỒI máu cơ TIM cấp ST CHÊNH lên - Pdf 30


NGHIÊN CU GIÁ TR 
TRONG VINH V TRÍ TC NGHNG MCH VÀNH
 BNH NHÂN NHP ST CHÊNH LÊN

Phm Nguyn Vinh- n và cng s
1
Tri hc Y Phm Ngc Thch, Tp H Chí Minh;
2
Bệnh viện II Lâm Đồng TÓM TT
Mc tiêu: Hu qu ca bnh nhân NMCT cp ph thu ph
d ng mch th phm dp vin là mt du chng lâm sàng quan
trng. Mc tiêu ca nghiên cu này nhm kho sát giá tr ECG khi d  h phm
trong NMCT cnh chng CMV cn quang.
t qu: Chúng tôi phân tích kt qu n quang 180 bnh
 nh chuyên, giá tr t qu cu
cho thy, tiêu chu    aVR cao
 V4-V6, ch nh chuyên 98.30%, giá tr
 ng vi P=0,05; AUC
chuyo liên tip V2-  DII,DIII,aVF chc LADI
 nh c hiu 98.3%, giá tr  
88.28% (ng vo liên tip V2-
 n/chênh lên) chc LADII-
nh chuyên 89.5%, giá tr  
(ng v DII  DII < 1; (2).
 n/chênh lên) ch nh chuyên
98.8%, giá tr  81.82% và giá tr ng vi P<0.05; AUC=
 DII, DI   aVL,DI chn

to the identification of a culprit artery. An early invasive approach and prognostic significance
might be especially beneficial in patients presenting with this finding.
Key words: ST-Segment elevation acute myocardial infarction (STEMI); electrocardiogram
(ECG); angiography


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

     
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
 


là  
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
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
 

 



 
                 

2--V4 kèm:

3-
II-III
-

4-

5-



  


-

  
                
LMCA -III 









 [25].
4.-





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

khoa. 
4.  
-11/2004,  
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