摘要
目的探究不同年龄患者早期复极综合征的动态心电图特征。方法选取2020年1月至2022年1月萍乡市人民医院收治的100例早期复极综合征(ERS)患者为研究对象,根据不同年龄分为A组(<18岁,n=30)、B组(18~45岁,n=38)和C组(>45岁,n=32)。三组患者均行动态心电图检查,并行心率变异性(HRV)分析。比较三组各项参数包括HRV指标、J波出现的导联情况、ST改变程度及参数之间的差异。结果B组和C组的标准差(SDNN)、均值标准差(SDANN)、差值的均方根(rMSSD)和差值>50 ms的百分比(PNN50)、极低频(VLF)、低频(LF)、高频(HF)、LF/HF均低于A组,差异有统计学意义(P<0.05);B组和C组V2~V3高于A组,V4~V5低于A组,B组的Ⅱ、Ⅲ、aVF低于A组,C组的Ⅱ、Ⅲ、aVF高于A组,差异有统计学意义(P<0.05);B组和C组ST段抬高距离高于A组,且Q-T离散度高于A组,差异有统计学意义(P<0.05)。结论不同年龄段ERS患者的动态心电图特征存在一定差异,且监测动态心电图对判断ERS患者的预后及评估病情严重程度有重要意义,从不同角度为ERS的临床监测提供新的理论依据,正确评估疾病的进展及预后,对指导临床治疗具有重要意义。
Objective To explore the dynamic electrocardiogram characteristics of early repolarization syndrome in patients of different ages.Methods A total of 100 patients with early repolarization syndrome(ERS)admitted to Pingxiang People's Hospital from January 2020 to January 2022 were selected as research subjects and divided into group A(<18 years old,n=30),group B(18-45 years old,n=38)and group C(>45 years old,n=32)according to different ages.All patients in the three groups underwent dynamic electrocardiogram and heart rate variability(HRV)analysis.The parameters of the three groups were compared,including HRV index,J-wave lead condition,ST change degree and the difference between the parameters.Results The standard diviation of NN intervals(SDNN),standard diviation average of NN intervals(SDANN),root mean square of successive differences in adjacent NN intervals(rMSSD),percentage difference>50 ms(PNN50),very low frequency(VLF),low frequency(LF),high frequency(HF)and LF/HF of groups B and C were lower than those of group A,and the differences were statistically significant(P<0.05).V2-V3 in groups B and C was higher than that in group A,V4-V5 was lower than that in group A,Ⅱ,Ⅲ and aVF in group B were lower than those in group A,and Ⅱ,Ⅲ and aVF in group C were higher than those in group A,the differences were statistically significant(P<0.05).The ST-segment elevation distance of groups B and C was higher than that of group A,and the Q-T dispersion was higher than that of group A,the differences were statistically significant(P<0.05).Conclusion There are some differences in the characteristics of holter electrocardiogram in ERS patients of different ages,and monitoring holter electrocardiogram is of great significance to judge the prognosis of ERS patients and assess the severity of the disease.It is of great significance to provide a new theoretical basis for clinical monitoring of ERS from different perspectives,correctly evaluate the progression and prognosis of the disease,and guide clinical treatment.
作者
陈思维
郭玲
刘娟
谷建峰
赖小娣
杨艳敏
CHEN Siwei;GUO Ling;LIU Juan;GU Jianfeng;LAI Xiaodi;YANG Yanmin(Department of Electrocardiography,Pingxiang People's Hospital,Jiangxi Province,Pingxiang337000,China)
出处
《中国当代医药》
CAS
2024年第5期52-54,59,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202212193)。
关键词
早期复极综合征
动态心电图
年龄
Early repolarization syndrome
Dynamic electrocardiogram
Ages
