摘要
目的:比较ST段抬高性和非ST段抬高性急性心肌梗死患者的冠状动脉病变特点。方法:选取100例在我院接受24h动态心电图和冠状动脉造影检查的急性心肌梗死患者,根据心电图结果分为观察组和对照组各50例。对照组为ST段抬高性心肌梗死(STEMI)患者,观察组为非ST段抬高性心肌梗死(NSTEMI)患者,比较两组患者冠状动脉病变的差异。结果:对照组LAD(左前降支)闭塞血管比例(52.00%)显著高于观察组(18.00%),差异具有统计学意义(P<0.05)。对照组LCX(回旋支)闭塞血管比例(8.00%)显著低于观察组(50.00%),差异具有统计学意义(P<0.05)。对照组RCA(右冠脉主干)闭塞血管比例(40.00%)和观察组(30.00%)比较,差异无统计学意义(P>0.05)。对照组单支病变比例(46.00%)明显高于观察组(12.00%),对照组三支病变比例(20.00%)明显低于观察组(48.00%)比较,差异均具有统计学意义(P<0.05)。对照组二支及正常血管比例与观察组比较,差异均无统计学意义(P>0.05)。对照组罪犯血管狭窄程度在76%-90%、91%-99%及完全闭塞的比例与观察组比较差异均具有统计学意义(P<0.05)。罪犯血管狭窄程度在<50%及50%-75%时,两组差异无统计学意义(P>0.05)。两组并发症发生情况比较,差异无统计学意义(P>0.05)。结论:1NSTEMI罪犯血管闭塞以LCX多见,STEMI罪犯血管闭塞以LAD多见;2NSTEMI以三支血管病变较多见,STEMI以单支病变较多见。
Objective： To investigate the relationship between coronary artery disease and abnormal ECG between 24h ambulatory patients with acute myocardial infarction. Methods： 100 patients in our hospital 24 h dynamic electrocardiogram and coronary angiography in patients with acute myocardial infarction, according to ECG findings are divided into observation group and control group, each group were 50 cases. The control group were STEMI patients, the observation group were NSTEM1 patients, the ECG and coronary artery disease were compared between two groups. Results： The percentage of LAD artery occlusion （52.00%） of control group was significantly higher than that of the observation group （18.00%）（P〈0.05）. The percentage of LCX artery occlusion （8.00%） of control group was significantly lower than that of the observation group （50.00%） （P〈0.05）. No statistically significant was found in the percentage of vascular occlusion of RCA between control group （40.00%） and observation group （30.00%）. The percentage of single-vessel disease of control group （46.00%） was significantly higher than of the observation group （12.00%）, the percentage of three lesions of the control group （20.00%） was significantly lower than that of the observation group （48.00%） （P〈0.05）. The percentage of vascular stenosis in criminal 76% -90%, 91% -99% and total occlusion were statistically different between two groups （P〈0.05）. No significant difference was found in the culprit artery stenosis in 〈50% and 50% -75% between two groups （P〉0.05）. No significant difference was found in the incidence of complications between two groups （P〉0.05）. Conclusion： 1, NSTEMI vascular occlusion with LCX common criminals, STEMI vascular occlusion in LAD criminals common ECG predict acute myocardial infarction and coronary angiography culprit vessels in line with the higher rate; 2, NSTEMI with triple vessel disease were more common, STEMI with single vessel disease were more comm
出处
《现代生物医学进展》
CAS
2016年第30期5896-5899,共4页
Progress in Modern Biomedicine
基金
新疆医科大学创新基金项目(XJC201369)
关键词
急性心肌梗死
动态心电图
冠状动脉病变
ST段抬高性急性心肌梗死
非ST段抬高性急性心肌梗死
Acute myocardial infarction
Holter monitoring
Coronary artery disease
Non-ST-segment elevation acute myocardial infarction
ST-segment elevation acute myocardial infarction
