摘要
目的:探究急性心肌梗死(AMI)并发室性心律失常及心室重构患者的12导联同步心电图检测结果。方法:选取龙岩市第一医院2021年1月至2022年12月收治的62例入院24 h内行12导联同步心电图监测的AMI患者,行超声心动图检查。根据是否发生室性心律失常分为非室性心律失常组22例和室性心律失常组40例。根据是否发生心室重构分为心室重构组24例和非心室重构组38例。对发生室性心律失常、心室重构、不良心血管事件患者的心电图指标进行分析比较。结果:室性心律失常组患者Tp-Te、校正后Tp-Te间期(Tp-Tec)和Tp-Te/QT水平高于非心室重构组,差异具有统计学意义(P<0.05)。心室重构组患者Tp-Te、Tp-Tec和Tp-Te/QT水平高于非心室重构组,差异具有统计学意义(P<0.05)。发生不良心血管事件患者与非室性心律失常患者相比,Tp-Te、Tp-Tec和Tp-Te/QT水平更高,差异具有统计学意义(P<0.05)。结论:合并室性心律失常、心室重构的AMI患者心电图指标更差,Tp-Te间期对于AMI预后具有预测价值。
Objective To investigate the results of 12-lead synchronous electrocardiogram in patients with acute myocardial infarction(AMI)complicated with ventricular arrhythmia and ventricular remodeling.Methods Sixty-two AMI patients admitted to Longyan First Hospital from January 2021 to December 2022 who received 12-lead synchronous electrocardiogram monitoring within 24 hours of admission were selected for echocardiography.According to whether ventricular arrhythmias occurred,the patients were divided into a non-ventricular arrhythmias group(22 cases)and a ventricular arrhythmias group(40 cases).According to whether ventricular remodeling occurred,the patients were divided into a ventricular remodeling group(24 cases)and a non-ventricular remodeling group(38 cases).The ECG indexes of patients with ventricular arrhythmia,ventricular remodeling and adverse cardiovascular events were analyzed and compared.Results The levels of Tp-Te,corrected Tp-Te Interval(Tp-Tec)and Tp-Te/QT in the ventricular arrhythmia group were higher than those in the non-ventricular remodeling group,and the differences were statistically significant(P<0.05).The levels of Tp-Te,Tp-Tec and Tp-Te/QT in the ventricular remodeling group were higher than those in the non-ventricular remodeling group,and the difference were statistically significant(P<0.05).The levels of Tp-Te,Tp-Tec and Tp-Te/QT in the patients with adverse cardiovascular events were higher than those in the patients with non-ventricular arrhythmias,and the differences were statistically significant(P<0.05).Conclusion For AMI patients with ventricular arrhythmia and ventricular remodeling,the 12-lead synchronous electrocardiogram index is worse,and the TP-TE interval has predictive value for the prognosis of AMI.
作者
温梦荷
谢莉萍
WEN Menghe;XIE Liping(The First Hospital of Longyan,Fujian Longyan 364000)
出处
《深圳中西医结合杂志》
2023年第17期29-32,141,共5页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
急性心肌梗死
心室重构
室性心律失常
12导联同步心电图
Acute myocardial infarction
Ventricular remodeling
Ventricular arrhythmia
12-lead synchronous electrocardiogram detection
