A 58-year-old man with coronary artery disease presented to the emergency department with a 1-day history of intermittent chest pain at rest. An ECG was obtained on arrival, at which time the patient reported no chest pain. Which of the following is the most likely site of the culprit lesion?
A. Right coronary artery
B. Left circumflex artery
C. Left coronary artery
D. Posterior descending artery
E. Left anterior descending artery
答案解析：
正确答案是左前降支。心电图引起了对 Wellens 综合征的关注，这是一个闭塞的左前降支自发再灌注后的无痛期，通过双相或深胸前 T 波倒置识别，特别是在 V2 和 V3 导联中。检查后不久，患者开始出现胸痛。紧急心导管检查发现左前降支近端完全闭塞。
正确答案：E
原创文章（本站视频密码：66668888），作者：xujunzju，如若转载，请注明出处：https://zyicu.cn/?p=14192
微信扫一扫 
支付宝扫一扫 