摘要
目的:研究冠心病患者的心功能和肺动脉压(PAP)、心电指标之间的关系。方法:选择2009年10月—2010年5月在我院住院的冠心病患者113例,按照NYHA分级分为A组(Ⅰ、Ⅱ级)、B组(Ⅲ级)、C组(Ⅳ级),比较3组之间的PAP、P波离散度(Pd)、QT间期(QT)、QT离散度(QTd)、T波峰-末间期(Tp-e)和经纠正后的QT(QTc)、QTd(QTcd)、Tp-e(Tp-e/e/RR^(1/2))之间的差异。结果:3组之间的PAP、Pd、QT、QTc、QTd、QTcd、Tp-e、Tp-e/e/RR^(1/2)比较差异有统计学意义(P<0.05),并且随着心功能的恶化(B组对A组,C组对B组),PAP逐渐升高,Pd、QT、QTc、QTd、QTcd、Tp-e、Tp-e/e/RR^(1/2)逐渐增加,差异具有统计学意义(P<0.05)。结论:冠心病患者随着心功能的恶化,PAP有升高的趋势,Pd、QT、QTc、QTd、QTcd、Tp-e、Tp-e/e/RR^(1/2)有增加的趋势,发生房颤和恶性心律失常的风险增加。
Objective： To investigate the relationship between the heart function and pulmonary arterial pressure （PAP）, electrocardiogram（ECG）indices in patients with coronary heart disease （CHD）. Methods： According to NYHA classification, 113 hospitalized patients were classified into A group （Ⅰ and Ⅱ）, B group （Ⅲ） and C group （Ⅳ）. The values of PAP, P dispersion （Pd）, QT interval（QT）, QT dispersion （QTd）, T peak-tend interval（Tp-e） and corrected QT （QTc）, corrected QTd （QTcd）, corrected Tp-e （Tp-e/√RR） were compared between three groups. Results： There were significant differences in PAP, Pd, QT, QTc, QTd, QTcd, Tp-e and Tp-e/√RR between three groups （P〈0.05）. The values of PAP,Pd, QT,QTc,QTd, QTcd, Tp-e and Tp-e/√RR were gradually increased with the deterioration of heart function in B group vs A group, C group vs B group. The differences were significant （P〈0.05）. Conclusion： The pulmonary arterial pressure and all of the ECG indices, including Pd, QT, QTc, QTd, QTcd, Tp-e and Tp-e/√RR were enhanced with the deterioration of heart function in CHD patients. Patients with heart failure are more likely to suffer from atrial fibrillation and malignant cardiac arrhythmia.
出处
《天津医药》
CAS
北大核心
2011年第3期230-232,共3页
Tianjin Medical Journal
关键词
冠心病
心力衰竭
肺动脉
血压
高血压
肺性
心电描记术
心房颤动
coronary disease heart failure pulmonary artery blood pressure hypertension
pulmonary electrocardiography atrial fibrillation
