心电图对前壁ST段抬高型心肌梗死患者多支冠脉病变的预测效果被引量：2

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摘要目的探讨心电图对前壁ST段抬高型心肌梗死患者多支冠脉病变的预测效果。方法选取2013年2月~2015年7月就诊的急性心肌梗死患者74例,结合院前心电图及冠状动脉影像资料将患者分为观察组(41例,多支冠脉病变)及对照组(33例,单支血管病变),对比分析心电图对前壁ST段抬高型心肌梗死患者多支冠脉病变预测效果。结果 (1)观察组及对照组心电图以a VL导联及V6导联为主且两组a VL、V6对比差异明显(P<0.05),其他导联a VF、V1-5对比均无明显差异(P>0.05);(2)观察组心电图前壁ST段抬高0.05~0.1m V及>0.1m V均以左前降支为主,二者相比差异无统计学意义(P>0.05),而二者三支病变比例相比差异有统计意义(P<0.05);(3)观察组前壁ST段抬高程度>0.1m V较0.05~0.1m V而言,其阴性价值明显较低,但其余四项预测价值明显较高。结论心电图中前壁ST段抬高程度与多支冠脉病变具密切相关性,院前心电图对前壁ST段抬高型心肌梗死患者多支冠脉病变具良好阳性预测价值。

作者孟艳红

机构地区枣庄矿业集团中心医院

出处《中国处方药》 2017年第2期117-118,共2页 Journal of China Prescription Drug

关键词心电图前壁ST段抬高心肌梗死多支冠脉病变

分类号 R542.22 [医药卫生—心血管疾病]

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参考文献6

1魏宇淼,陈芬,邓珊,张家明,王祥,程翔,曾秋棠,廖玉华.心电图对应导联ST段压低在急性ST段抬高型心肌梗死诊治及预后价值的回顾性分析[J].临床心血管病杂志,2015,31(5):501-504. 被引量：38
2庄楷生,王钟杰,张佩文,何燕玉.心电图对前壁ST段抬高型心肌梗死患者多支冠脉病变的预测效果[J].中国医学创新,2015,12(27):109-111. 被引量：4
3戴丽萍.前壁ST段抬高型心肌梗死患者的心电图改变对多支血管病变的预测价值[J].新医学,2015,46(11):773-776. 被引量：2
4高晨阳,郝守艳,王祥,郑杨.246例回旋支不同节段闭塞的心电图特点[J].临床心电学杂志,2014,23(4):250-254. 被引量：4
5曲迎军,鞠华敏,岳善峰.入院心电图对心肌梗死患者多支冠脉病变诊断价值[J].中外医疗,2016,35(7):178-180. 被引量：2
6王勇,傅研,张敬.非ST段抬高心肌梗死早期危险分层的临床研究[J].首都医科大学学报,2007,28(4):442-444. 被引量：1

二级参考文献48

1Richard A Brogan,Christopher J Malkin,Philip D Batin,Alexander D Simms,James M McLenachan,Christopher P Gale.Risk stratification for ST segment elevation myocardial infarction in the era of primary percutaneous coronary intervention[J].World Journal of Cardiology,2014,6(8):865-872. 被引量：6
2杨晓帆,宫剑滨,江时森,陈锐华,张启高,王立军,彭永平,邹莺.aVF导联低电压预测冠状动脉多支病变的价值[J].中国综合临床,2005,21(1):9-11. 被引量：7
3[1]Braunwald E,Antman E M,Beasley J W,et al.ACC/AHA guideline update for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction.A report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Unstable Angina)[J].Circulation,2002,106:1893-1900.
4[2]The Task Force on Management of Acute Myocardial Infarction of the European Society of Cardiology.Task force report management of acute coronary syndromes in patients presenting without persistent ST-segment elevation[J].Eur Heart J,2002,23:1809-1840.
5[4]Kaul P,Fu Y L,Chang W C,et al.Prognostic value of ST-segment depression in acute coronary syndrome:Insights from PARAGON-A applied to GUSTO-Ⅱb[J].J Am Coll Cardiol,2001,38:64-71.
6[5]Boersma E,Pieper K S,Steyeberg E W,et al.For the pursuit investigators:predictors of outcomes in patients with acute coronary syndromes without persistent ST segment elevation:Results from an international trial of 9461 patients[J].Circulation,2000,101:2557-2567.
7[6]Murller C,Buettner H J,Hodgson J M,et al.Inflammatory and long-term mortality after non-ST-elevation acute coronary syndrome treated with every early invasive strategy in 1042 consecutive patients[J].Circulation,2002,105:1412-1415.
8[7]Zwaka T P,Hombac H V,Torzewski J.C-reactive protein-mediated low density lipoprotein up take by macrophages:implication for atherosclerosis[J].Circulation,2001,103:1194-1197.
9Adams GL,Campbell PT,Adams JM,et al.Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency,NorthEast Experience[TIME-NE]).The American journal of cardiology 2006;98:1160-1164.
10Wagner GS,Macfarlane P,Wellens H,et al.AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram Part Ⅵ:Acute Ischemia/Infarction.Journal of the American College of Cardiology 2009;53:1003-1011.