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回顾性分析46例急性右室心肌梗塞（右室梗塞）患者早期临床表现、心电图特征及误漏诊情况，结果表明，早期误漏诊率为39％．由于右室梗塞多合并左室下壁或后壁梗塞发生，临床表现不甚典型，且缺乏特异性，右胸导联心电图及血液动力学监测和床边超声心动图检查有助于早期诊断。因此，对所有拟诊心肌梗塞的患者应加作全胸导联心电图，并对右室梗塞早期临床表现和常规12导联心电图上的相关指标在急性右室梗塞早期诊断中的价值进行了讨论。
46 patients with acute right ventricular myocardial infarction (right ventricular infarction) were retrospectively analyzed. The clinical manifestations, electrocardiogram features and misdiagnosis were analyzed retrospectively. The results showed that the early misdiagnosis rate was 39%. Due to multiple right ventricular infarction with left ventricular wall or posterior wall infarction, clinical manifestations are not typical, and the lack of specificity, right chest lead ECG and hemodynamic monitoring and bedside echocardiography help early diagnosis. Therefore, for all patients with suspected myocardial infarction should be added to the chest lead ECG, and early clinical manifestations of right ventricular infarction and conventional 12-lead ECG related indicators in the early diagnosis of acute right ventricular infarction value is discussed .