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目的：分析心电图（E C G）定位与急性心肌梗死（A M I）的病变冠状动脉的相关性，评估心电图在哈萨克族人群急性心肌梗死中的诊断价值。方法：对41例哈萨克族接受冠脉造影的急性心肌梗死患者的心电图资料进行分析，并将其与冠状动脉造影（C A G）结果进行比较。结果：前壁(包括广泛前壁及前间壁)急性心肌梗死患者29例，前降支病变22例，符合率89.7％；下壁急性心肌梗死患者8例，右冠状动脉病变6例，符合率75%。结论：哈萨克族急性心肌梗死患者的心电图定位符合率比较高，这种“古老”的诊断方法对急性心肌梗死的梗死相关动脉诊断是有较高的阳性预测值。“,”Objective:To analyze electrocardiogram (ECG) and acute myocardial infarction (AMI) correlation with coronary artery lesions, assessing the value of electrocardiogram in diagnosis of acute myocardial infarction in Kazakh population.Methods:the clinical data of patients with acute myocardial infarction coronary angiography in 41 cases were analyzed, Which campared to coronary angiography. Results:the anterior wall (anterior and anteroseptal included) 29 cases of patients with acute myocardial infarction, anterior descending artery in 22 cases, the coincidence rate was 89.7%;inferior wall acute myocardial infarction in 8 cases, and 6 cases of right coronary artery disease, the coincidence rate was 75%. Conclusion:It is shown that the coincidence rate in Kazakh patients who have acute myocardial infarction Electrocardiogram was significant high. While the“traditional”diagnostic method has a high positive predictive value to diagnose artery infraction with acute myocardial infarction.