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鉴于对急性非穿壁性心肌梗塞[简称ANTMI]的认识还不足,为此,仅就所见国内外文献对ANTMI有关问题综述如下: 发病率:文献报道的ANTMI多指心内膜下心肌梗塞[简称ASEI]或仅有心电图ST-T改变的心肌梗塞。一般说ANTMI累及心室壁内侧1/4~1/2厚度。自1930年Whitten等报道ASEI以后,Cook及国内周金台等也先后病理证实数十例ANTMI。Midas报道了104例心肌梗塞,其中ANTMI 43例,占41.3%。北京地区心血管协作组报道了一组ANTMI,发病率为75%。河南医学院心血管内科报告
In view of acute non-transmural myocardial infarction [referred to as ANTMI] understanding is not enough, therefore, only the domestic and foreign literature on the ANTMI findings reviewed are as follows: Incidence: reported in the literature ANTMI multi-finger subendocardial myocardial infarction [ASEI] or ECG-only myocardial infarction with altered ST-T. In general, ANTMI affects the inner wall of the ventricular wall 1/4 ~ 1/2 thickness. Since Whitten et al. Reported ASEI in 1930, Cook and the domestic Zhoujintai, etc. also pathologically confirmed dozens of cases of ANTMI. Midas reported 104 cases of myocardial infarction, including 43 cases of ANTMI, accounting for 41.3%. Beijing Regional Cardiovascular Collaboration reported a group of ANTMI with an incidence of 75%. Henan Medical College Cardiovascular Medicine Report