摘要
目的:分析无顶冠状静脉窦综合征(UCSS)患者心电图(ECG)表现特点及其与病理分型的相关性。方法:回顾性分析2007年1月—2020年1月经我院外科手术并证实的83例UCSS患者资料。比较其ECG表现及与分型的相关性。结果:UCSS患者ECG异常率高(59.0%),主要表现为传导阻滞、右心室肥厚、心房颤动和ST段改变,其中传导阻滞居多(61.2%)。Ⅰ型ECG异常构成比最高(70.6%)。ECG分类与UCSS分型的相关分析总体存在弱相关性表现(Kendall’s tau-b=0.231,P=0.017)。但ECG异常组内Ⅰ、Ⅱ、Ⅲ型间无明显差异(P>0.05)。结论:UCSS患者ECG异常率高,以传导阻滞为主,Ⅰ型患者ECG异常构成比最高。ECG分类与UCSS分型的总体存在一定相关性。
Objective: To analyze the characteristics of electrocardiogram(ECG) in patients with unroofed coronary sinus syndrome(UCSS) and its correlation with pathological classification. Method: Retrospectively analyzed the data of 83 patients with UCSS confirmed by surgery in our hospital from January 2007 to January 2020. We analyzed and compared the characteristics of ECG and its correlation with different typing. Result: The abnormal rate of ECG in UCSS patients was high(59.0%), mainly manifested conduction block, right ventricular hypertrophy, atrial fibrillation and ST segment changes, of which conduction block was the most(61.2%). Abnormal ECG composition ratio of TypeⅠwas the highest(70.6%). The correlation analysis between ECG classification and UCSS classification showed weak correlation(Kendall’s tau-b=0.231, P=0.017). However, there was no significant difference between types Ⅰ, Ⅱ, and Ⅲ in abnormal ECG group(P>0.05). Conclusion: UCSS patients have a high ECG abnormality rate, mainly manifested conduction block, and typeⅠpatients have the highest ECG abnormality ratio. There is a certain correlation between the ECG classification and the overall UCSS classification.
作者
弓文清
魏汝峰
胥盼
马慧
黄海华
郑敏娟
GONG Wenqing;WEI Rufeng;XU Pan;MA Hui;HUANG Haihua;ZHENG Minjuan(Department of Ultrasound Medicine,First Affiliated Hospital of Air Force Medical University,Xi'an,710032,China;Department of Ultrasound,Hanzhong Central Hospital;Department of ECG Room,Stomatological Hospital,Air Force Medical University)
出处
《临床心血管病杂志》
CAS
北大核心
2020年第11期1045-1047,共3页
Journal of Clinical Cardiology
基金
陕西省国际合作项目(No:2015KW-049)
空军军医大学第一附属医院助推计划(No:XJGX15Y16)。
关键词
无顶冠状静脉窦
心电图
超声心动图
unroofed coronary sinus syndrome
electrocardiogram
echocardiography
