标题：左回旋支闭塞致急性心肌梗死的临床诊治进展

      作者：赵曙辉 综述 黄颖 审校    重庆医科大学附属第一医院心血管内科，重庆 400016

      卷次： 2021年32卷7期

      【摘要】 急性心肌梗死的罪犯血管主要为前降支、左回旋支和右冠状动脉，单纯左回旋支闭塞常发生不典型的临床表现，容易漏诊和误诊。本文就左回旋支病变致急性心肌梗死的流行病学特征、临床表现、心电图改变、延迟再灌注治疗及预后做一综述。
      【关键词】 急性心肌梗死；罪犯血管；左回旋支；临床表现；心电图；再灌注治疗；预后
      【中图分类号】 R542.2+2 【文献标识码】 A 【文章编号】 1003—6350（2021）07—0913—04

Progress in clinical diagnosis and treatment of acute myocardial infarction caused by circumflex artery occlusion.ZHAO Shu-hui, HUANG Ying.
Department of Cardiology, the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016, CHINA【Abstract】 The main culprit artery of acute myocardial infarction (AMI) are generally classified as left anteriordescending coronary artery (LAD), left circumflex coronary artery (LCX), and right coronary artery (RCA). Single occlu-sion of the LCX is uncommon and often presents atypical clinical manifestations, which may confuse the diagnosis. Theepidemiological characteristics, clinical manifestations, atypical electrocardiogram changes, delayed reperfusion treat-ment factors and prognosis of AMI caused by LCX were reviewed here.
      【Key words】 Acute myocardial infarction (AMI); Culprit artery; Left circumflex artery (LCX); Clinical manifes-tations; Electrocardiogram; Reperfusion treatment; Prognosis·综述·doi:10.3969/j.issn.1003-6350.2021.07.025