Выводы. 1. Нами был произведен обзор литературы, посвященной вопросам ЭКГ-диагностики ИСА при ОИМ нижней локализации;

1. Нами был произведен обзор литературы, посвященной вопросам ЭКГ-диагностики ИСА при ОИМ нижней локализации;

2. Выявлены закономерности изменений ЭКГ при острой окклюзии ПКА и ОВ ЛКА при ОИМ нижней локализации;

3. Разработанный алгоритм позволил у 24 пациентов из 25 правильно определить ИСА.

4. Предлагаемый алгоритм позволит эндоваскулярному хирургу более точно прогнозировать ИСА, что сократит время выполнения первичного ЧКВ.

5. Для оценки справедливости данного алгоритма требуется большее число наблюдений и проверка его работоспособности в реальной клинической практике.

 

Использованная литература

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2. Bairey C. N., Shah P. K., Lew A. S. Electrocardiographic differentiation of occlusion of the left circumflex versus right coronary artery as a cause of inferior acute myocardial infarction. Am. J. Cardiol. 1987; 60(7); 456-459.

3. Bayes de Luna A., Fiol-Sala M., Antman E.M. (eds). The 12 lead ECG in ST elevation myocardial infarction: a practical approach for clinicians. Blackwell Publishing, Inc., 2007.

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6. 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. Am. J. Cardiol. 2004; 94; 709-714.

7. Głowczynska R., Grabowski M., Filipiak K. J. et al. Step by step on algorithms predicting infarct related artery in patients with ST segment elevation myocardial infarction. Folia Cardiol. 2005; 12, suppl D–P; 353-357.

8. Hasdai D., Birnbaum Y., Herz I., Sclarovsky S., Mazur A., Solodky A. ST segment depression in lateral limb leads in inferior wall acute myocardial infarction. Europ. Heart J. 1995;16; 1549-1553.

9. Herz I., Assali A. R., Adler Y., Solodky A., Sclarovsky S. New electrocardiographic criteria for predicting either the right or left circumflex artery as the culprit coronary artery in inferior wall acute myocardial infarction. Am. J. Cardiol. 1997; 80(10); 1343-1345.

10. Kosuge M., Kimura K., Ishikawa T., Hongo Y., Mochida Y., Sugiyama M. et al. New electrocardiographic criteria for predicting the site of coronary artery occlusion in inferior wall acute myocardial infarction. Am. J. Cardiol. 1998; 82(11); 1318-1322.

11. Lui C. T., Wong O. F., Fung H. T. ECG quiz: an old man with acute onset of chest pain. Hong Kong J. Emerg. Med. 2010; 17(1); 97-100.

12. Moskovits N., Khan M., Budzilowicz L., Kumar M., Frankel R., Shani K. et al. ST II/III: a new electrocardiographic criteria for the identification of the culprit vessel in inferior wall myocardial infarction. J. Am. Coll. Cardiol. 1997; 29(Suppl A); 430A.

13. Pereztol-Valder O., Candell-Riera J., Santana-Boado C., Angel J., Aguader-Bruix S., Castell-Conesa J., Garcia E. V., Soler-Soler J. Correspondence between left ventricular 17 myocardial segments and coronary arteries. Europ. Heart J. 2005; 26; 2637–2643.

14. Tierala I., Nikus K. C., Sclarovsky S. et al. Predicting the culprit artery in acute ST-elevation myocardial infarction and introducing a new algorithm to predict infarct-related artery in inferior ST-elevation myocardial infarction: correlation with coronary anatomy in the HAAMU Trial. J. Electrocardiol. 2009; 42; 120-127.

15. Van der Putten N.H.J.J., Rijnbeek P. R., Dijk W. A. et al. Validation of Electrocardiographic Criteria for Predicting the Culprit Artery in Patients with Acute Myocardial Infarction. Computing in Cardiology 2010; 37; 21−24.

16. Wagner G. S., Macfarlane P., Wellens H. et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part VI: acute ischemia/infarction. А scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society. Endorsed by the International Society for Computerized Electrocardiology. J. Am. Coll. Cardiol. 2009; 53(11); 1003–1011.

17. Wong C. K., Freedman S. B. Electrocardiographic identification of infarct-related artery in acute inferior myocardial infarction. Int. J. Cardiol. 1996; 54(1); 5-11.

18. Wong T. W., Huang X. H., Liu W., Ng K, Ng KS. New electrocardiographic criteria for identifying the culprit artery in inferior wall acute myocardial infarction -usefulness of T-wave amplitude ratio in leads II/III and T-wave polarity in the right V5 lead. Am. J. Cardiol. 2004; 94(9); 1168-1171.

19. Zimetbaum P. J., Josephson Mark E. Use of the Electrocardiogram in Acute Myocardial Infarction. N. Engl. J. Med. 2003; 348; 933-940.