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目的探讨早期复极综合征的特点及鉴别诊断。方法对40例早期复极综合征患者的临床资料进行回顾性分析。结果早期复极综合征以青壮年男性多见,平均年龄36岁,心电图以ST段“假性冠状性”抬高为主要特征,运动试验ST段可恢复至等电位线。结论早期复极综合征是一种生理性变异,但其症状和心电图表现与心绞痛、心肌梗死等相似,易误诊,临床应加以鉴别。
Objective To explore the characteristics and differential diagnosis of early repolarization syndrome. Methods The clinical data of 40 patients with early repolarization syndrome were retrospectively analyzed. Results Early repolarization syndrome was more common in young and middle-aged males, with an average age of 36 years. The electrocardiogram was mainly characterized by ST segment elevation and pseudo-corneal elevation. The ST segment of exercise test returned to the equipotential curve. Conclusion Early repolarization syndrome is a physiological variation, but its symptoms and ECG performance and angina, myocardial infarction and other similar, easily misdiagnosed, clinical should be identified.