摘要
目的探讨心肌梗死中心电图检测的运用对诊断冠状动脉多支病变的价值。方法纳入本院2017年9月—2019年9月接诊的心肌梗死患者68例,并对其施以冠脉造影检测和心电图检测。分析不同方法检测的结果,总结急性梗死病患单支冠脉病变和多支冠脉病变在心电图特征分布上的差异性。结果对于下壁导联ST段降低的49个病变,左前降支单支病变组V6导联发生者有3个,多支病变组有10个,组间差异有统计学意义(P <0.05)。对于下壁导联ST段抬高的19例病患,单支和多支病变的心电图特征比较差异无统计学意义(P> 0.05)。结论积极开展心电图检测工作,能够显著提高心肌梗死病患冠状动脉多支病变临床诊断的准确率,并能为患者治疗方案的制定和预后评估提供重要指导,建议推广。
Objective To explore the value of electrocardiographic detection in the diagnosis of multiple coronary artery lesions.Methods 68 patients with myocardial infarction who were admitted to our hospital from September 2017 to September 2019 were examined by coronary angiography and ECG.The results of different methods were analyzed,and the differences of ECG characteristics between single coronary artery disease and multi coronary artery disease in patients with acute infarction were summarized.Results For 49 patients with lower wall ST segment reduction,3 patients in left anterior descending artery disease group had V6 lead co-occurrence,and 10 patients in multi-branch disease group had significant difference(P<0.05).For 19 patients with ST segment elevation in inferior wall lead,there was no significant difference in ECG characteristics between single branch and multi branch lesions(P>0.05).Conclusion Active ECG detection can significantly improve the accuracy of clinical diagnosis of multi vessel coronary lesions in patients with myocardial infarction,and provide important guidance for the development of treatment plan and prognosis evaluation,and it is recommended to promote.
作者
夏慧
XIA Hui(Room of Electrocardiogram,Chifeng Hospital,Chifeng Inner Mongolia 024000,China)
出处
《中国卫生标准管理》
2020年第19期72-74,共3页
China Health Standard Management
关键词
冠状动脉多支病变
心电图检测
诊断价值
心肌梗死
治疗方案
预后
multi vessel coronary artery disease
ECG detection
diagnostic value
myocardial infarction
treatment plan
prognosis
