期刊文献+

冠心病心力衰竭的心电图分析 被引量:4

Analysis of Electrocardiogram in Heart Failure Patients of Coronary Heart Disease
下载PDF
导出
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.
作者 祝丽萍
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
  • 相关文献

参考文献5

  • 1黄从新.植入心律转复除颤器作为心力衰竭患者心脏性猝死的一级预防[J].中华心律失常学杂志,2009,13(4):245-246. 被引量:1
  • 2黄宛.临床心电学[M].5版.北京:人民卫生出版社,2007:10.
  • 3WillemJR,Karl S.Guidelines for the diagnosis and treatment of chron-ic heart failure.Task Force for the Diagnosis and Treatment of Chronic Heart Failure,European Society of Cardiology[J].Eur Heart J,2001,22:1527-1560.
  • 4Maisel MH.Stevenson LW.Atrial fibrillation in heart failure; epidemi-dogy,path ophysiology,and rationale for therapy[J].Am J Cardiol,2003,91 (6A):2-8.
  • 5Tsang TS,Gersh BJ,Appleton CP,et al.Left ventricular diastolic dysfunction as a predictor of the first diagnosed nonvalvular atrial fibrilla-tion in 840 elderly men and women[J].J Am Coll Cardiol,2002,40 (9):1634-1644.

二级参考文献8

  • 1A Camparision of antiarrhythmic-drug therapy with implantable defibrillators in patients resuscitated from near-fatal ventrieular arrhythmias. The Antiarrhythmies Versus lmplantable Defibrillators (AVID) Investigators. N Engl J Med, 1997,337 : 1576-1583.
  • 2Kuck KH, Cappato R, Siebels J, et al. Randomized comparison of antiarrhythmic drug therapy with implantable defibrillators in patients resuscitated from cardiac arrest: the Cadiac Arrest Study Hambury(CASH). Circulation,2000, 102:748-754.
  • 3Connolly SJ, Gent M, Roberts RS, et al. Canadian Implantable Defibrillator Study ( CIDS ) : a randomized trial of the implantable cardioverter defibrillator against amiodarone. Circulation, 2000, 101 : 1297-1302.
  • 4Moss AJ, Zareba W, Hall WJ, et al. For the Multicenter Automatic Defibrillator Implantation Trial Ⅱ Investigators. Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Engl J Med,2002,346:877-883.
  • 5Kadish A, Dyer A, Daubert JP , et al. Prophylactic defibrillator implantation in patients with nonischemic dilated cardiomyopathy. N Engl J Med,200d,350:2151-2158.
  • 6Bardy GH, Lee KL, Mark DB, et al. Admiodarone or an implantable cardioverter-defibrillator for congestive heart failture. N Engl J Med, 2005,352:225-237.
  • 7Epstein AE, DiMarco JP, Ellenbogen KA, et al. ACC/AHA/ HRS 2008 Guidelines for Device-Based Therapy of Cadiac Rhythm Abnomslities: executive summary a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines( Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices) developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons. J Am Coil Cardiol,2008 ,51:2085-2105.
  • 8Gregoratos G, Abrams J, Epstein AE, et al. ACC/AHA/HRS 2002 guidelines update for implantation of cardiac pacemarkers and antiarrhythmia devices:summary article:a report the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/NASPE Committee to Update the 1998 Pacemakers Guidelines). Ciuculation ,2002,106:2145-2161.

同被引文献22

  • 1林春燕,王俊杰,籍颖辉.24例心尖肥厚型心肌病的临床诊断分析[J].海南医学,2007,18(4):6-7. 被引量:4
  • 2王素明 祖秀光 魏倩.心尖肥厚型心肌病误诊为冠心病一例.当代医学,2009,22(9):499-499.
  • 3M.Feldman,Gary S.Francis,Theodore G,et al.ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults[J].Circulation,2009,119:1977-2016.
  • 4Dhingra R,Ho Nam B,Benjamin EJ,et al.Crossseetional relations of electrocardiographic QRS duration to left ventricular dimensions:the Framinghanl Heart Study[J].Am Coll Cardiol,2005,45:685-689.
  • 5Sandhu R,Bahler RC.Prevalence of QRS prolongation in a community hospital cohort of patients with heart failure and its relation t o left ventricular systolic dysfunction[J].Am Cardiol,2004,93(2):244-246.
  • 6Shenkman HJ,Pampati V,Khandelwal AK,et al.Congestive heart failure and QRS duration:establishing prognosis study[J].Chest,2002,122(2):528-534.
  • 7孙剑萍,朱士洲,周兢,缪满,孙剑珊,朱梅林.心尖肥厚型心肌病患者心电图的诊断意义[J].临床心电学杂志,2007,16(4):261-263. 被引量:15
  • 8王树芳,张晓波.心尖肥厚型心肌病的心电图诊断意义[J].当代医学,2008,15(2):42-43.
  • 9无.慢性心力衰竭诊断治疗指南[J].中华心血管病杂志,2007,35(12):1076-1095. 被引量:3691
  • 10孙康云,陈亚东,李颀.体表心电图慢性ST-T改变对冠心病的诊断价值[J].实用心脑肺血管病杂志,2008,16(7):50-51. 被引量:1

引证文献4

二级引证文献45

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部