摘要
目的探讨冠心病心力衰竭的心电图特征及临床意义。方法回顾性分析我院2008年8月1日—2009年7月31日冠心病心力衰竭患者144例的临床资料。结果心功能Ⅰ级36例(占25.00),Ⅱ级65例(占45.14),Ⅲ级28例(占19.44),Ⅳ级15例(占10.42)。心功能Ⅰ级患者正常ECG明显高于Ⅱ、Ⅲ、Ⅳ级患者,差异有统计学意义。随心力衰竭程度加重QRS波电压有降低趋势。结论根据肢导联QRS波低电压随心力衰竭程度加重呈递增趋势的改变及多种心律失常等体表12导联心电图特征对患者的诊治有指导意义。
Objective ECG characteristics of coronary heart disease and clinical significance.Methods Retrospective analysis of our hospital on Aug.1,2008 July 31-2 009 coronary heart disease in patients with heart failure clinical data of 144 cases.Results 36 cases of grade Ⅰ cardiac function(accounting for 25.00),Ⅱ grade 65 cases(accounting for 45.14),Ⅲ grade 28 cases(accounting for 19.44),Ⅳ grade 15 cases(10.42).Cardiac function in patients with normal ECG Ⅰ level was significantly higher than Ⅱ,Ⅲ,Ⅳ grade patients,the difference was statistically significant.Xpress decline increased level of QRS wave voltage to decrease.Conclusion According to the low limb lead QRS voltage blossoms wave increased gradually increasing degree of decline of the change and a variety of arrhythmias and other characteristics of Surface 12-lead ECG diagnosis and treatment of patients with guidance.
出处
《实用心脑肺血管病杂志》
2010年第5期537-538,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
冠心病
心力衰竭
心电图
Coronary artery disease
Heart failure
Electrocardiogram