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目的提高对早期复极综合征的临床特点的认识。方法收集16例早期复极综合征患者临床表现和辅助检查资料总结其特点。结果16例患者2例曾误诊为冠心病急性心肌梗死,4例为心绞痛,心脏神经官能症5例,高血钾1例,右束支阻滞1例,肋间神经痛1例,诊断早期复极综合征2例。结论早期复极综合征患者临床表现无特异性,心电图ST段表现复杂,常被误诊,动态心电图观察ST段呈凹面向上抬高,其改变相对稳定,与有无胸痛症状无关,心肌酶谱无改变常是诊断的依据。
Objective To raise awareness of the clinical features of early repolarization syndrome. Methods The clinical manifestations and laboratory examinations of 16 patients with early repolarization syndrome were collected to summarize their characteristics. Results Two of 16 patients had been misdiagnosed as coronary heart disease with acute myocardial infarction, 4 with angina pectoris, 5 with cardiac neurosis, 1 with hyperkalemia, 1 with right bundle branch block, 1 with intercostal neuralgia and early diagnosis Two cases of repolarization syndrome. Conclusions The clinical manifestations of patients with early repolarization syndrome are nonspecific. The electrocardiogram ST segment is complicated and often misdiagnosed. The ST segment elevation is observed by Holter monitoring. The change of ST segment is relatively stable, and has no correlation with the presence or absence of chest pain symptoms. Change is often the basis for diagnosis.