摘要
目的:常规12导联平静心电图中碎片状QRS复合波的出现,具有诊断陈旧性心肌梗死的意义。本研究发现fQRS波也可见于冠心病心肌缺血心电图中,故认为fQRS波是提示心肌缺血的一种标志。方法:随机选取2008～2009年作者单位心内科住院病房患者520名,并给予其心电图、平板运动及冠状动脉造影(CAG)等各项检查。假使平板运动、CAG、平板运动/CAG任一结果阳性为诊断心肌缺血的金标准,并依此来观察fQRS波在诊断心肌缺血时的意义。结论:fQRS在诊断心肌缺血方面有着较高的特异性和阴性预测值,其出现能够预测心肌缺血的存在。
Objective ： Background and Objective The appearance of a fragmented QRS complexes （fQRS） on a resting 12 - lead electrocardiogram （EGG） was regarded as a marker of a prior silent MI. In our study ,we find that the fQRS was also appears in patients with myocardial i schemia. We, therefore, postulate that the fQRS may be a sign of myocardial ischemia. Methods：520 patients were selected randomly in our hospital,and were given ECG,CAG and exercise treadmill test. We use the exercise treadmill test, CAG, and exercise treadmill test and/or CAG as the gold standard of the myocaridal ischemia, and observe the value of fQRS in myocardial ischemia according to the gold standard. Conclusions：The fQRS has the high specificity and negative predictive value for myocardial ischemia. The presence of fQRS may denote the existence of myocardial ischcmia.
出处
《医学信息（中旬刊）》
2011年第1期21-22,共2页
Medical Information Operations Sciences Fascicule
