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特集 エキスパートに学ぶ 知っておきたい心電図診断のコツと落とし穴 虚血性心疾患
非ST上昇型急性冠症候群
著者： 川越康仁1 安田聡2
所属機関： 1国立循環器病研究センター心臓血管内科 2東北大学大学院循環器内科学
ページ範囲：P.192 - P.210
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・非ST上昇型急性冠症候群を疑う心電図の評価ではST変化・陰性T波などの変化から虚血性心疾患の検査前確率の評価と重症度評価を同時に行い，リスク/ベネフィットを天秤にかけて次の行動を決める．
・虚血性変化にばかり目を奪われがちであるが，常に他の可能性も鑑別に残しておく．
・心電図だけでは判読困難な症例もあり，総合的判断が大切である．
・非ST上昇型急性冠症候群を疑う心電図の評価ではST変化・陰性T波などの変化から虚血性心疾患の検査前確率の評価と重症度評価を同時に行い，リスク/ベネフィットを天秤にかけて次の行動を決める．
・虚血性変化にばかり目を奪われがちであるが，常に他の可能性も鑑別に残しておく．
・心電図だけでは判読困難な症例もあり，総合的判断が大切である．
参考文献
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