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Кардиология

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Инверсия зубца Т в грудных отведениях: дифференциальный диагноз при сердечных и внесердечных заболеваниях

https://doi.org/10.18087/cardio.2020.5.n668

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Аннотация

Инверсия зубца Т (ИЗТ) – распространенная находка на электрокардиограмме. Причины ИЗТ многочисленны, в ряде случаев ИЗТ может возникать при угрожающих жизни состояниях. Цель обзора литературы – представить современный анализ ИЗТ: (1) определение и распространенность, (2) причины возникновения и (3) дифференциальный диагноз при доброкачественной ИЗТ, обратимой ишемии миокарда передней стенки левого желудочка, кардиомиопатии такоцубо, субарахноидальном кровоизлиянии, тромбоэмболии легочной артерии, аритмогенной кардиомиопатии правого желудочка и «памяти сердца». В обзоре представлены практические электрокардиографические критерии, позволяющие вовремя заподозрить угрожающие жизни состояния для выбора своевременного метода лечения.

Об авторах

И. Р. Цой
ФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий ФМБА России», Москва, Россия
Россия
кардиолог


И. П. Колос
ФГБУ «Федеральный медицинский центр Росимущества», Москва, Россия
Россия
Заведующий отделением кардиологии и функциональной диагностики, к.м.н.


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Для цитирования:


Цой И.Р., Колос И.П. Инверсия зубца Т в грудных отведениях: дифференциальный диагноз при сердечных и внесердечных заболеваниях. Кардиология. 2020;60(5):136–145. https://doi.org/10.18087/cardio.2020.5.n668

For citation:


Tsoy I.R., Kolos I.P. T-wave inversion in the precordial leads: сardiac and non-cardiac causes. Kardiologiia. 2020;60(5):136–145. (In Russ.) https://doi.org/10.18087/cardio.2020.5.n668

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