《急診每日一題》肺梗塞時(shí)心電圖表現(xiàn)2021年1月
Question 問題：
Pulmonary embolism can have ECG findings suggestive of acute RV strain, such as deep T-wave inversions in leads V1, V2 and V3, RBBB, or S1Q3T3. PE can also present with ST-segment elevation mimicking anterior wall MI. What is the mechanism??
肺梗塞會有提示急性右室勞損，如V1，V2，V3導(dǎo)聯(lián)深度T波倒置，或右束支傳導(dǎo)阻滯，或S1Q3T3。肺梗塞還會出現(xiàn)類似于前壁心梗的ST抬高。其機(jī)制是什么？
Answer 答案：
This is likely due to acute RV strain and poor left ventricular filling resulting in decreased blood flow to the coronaries.?
這很可能是由于急性右室勞損和左心室充盈不良導(dǎo)致冠狀動(dòng)脈血流下降。
參考文獻(xiàn)：
Clin Pract Cases EM. 2020;4:660
標(biāo)簽：
