摘要
目的根据心肌梗死患者的动态心电图检查结果,比较不同病变冠脉支数及部位者心律失常的发生情况。方法回顾性分析2016年9月至2018年9月胶州市人民医院收治的80例心肌梗死患者的临床资料。所有患者均接受动态心电图检查与冠状动脉造影检查。记录患者心律失常发生情况、病变冠脉支数、部位,比较不同病变冠脉支数及部位者心律失常的发生情况。结果 80例心肌梗死患者中,心律失常发生率为98.75%(79/80)。单支冠脉病变时恶性或复杂心律失常的发生率低于双支和多支病变,单支或双支冠脉病变时房性心律失常的发生率低于多支病变,差异有统计学意义(均P<0.05)。前降支与左主干病变患者恶性或复杂心律失常的发生率高于右冠状动脉、左回旋支病变患者,前降支与左主干病变患者房性心律失常的发生率高于右冠状动脉、左回旋支病变者,差异有统计学意义(均P<0.05)。结论心肌梗死后患者心律失常发生率较高,动态心电图可有效检出患者可能存在的心律失常,病变冠脉支数多者、前降支与左主干病变者,更易出现恶性或复杂心律失常、房性心律失常。
Objective To compare the occurrence of arrhythmia in myocardial infarction patients with different number or location of diseased coronary arteries according to ambulatory electrocardiography.Methods The clinical data of 80 patients with myocardial infarction admitted to Jiaozhou People’s Hospital from September 2016 to September 2018 were retrospectively analyzed.All patients underwent ambulatory electrocardiography and coronary angiography.The occurrence of arrhythmia,and the number and location of diseased coronary arteries were recorded.The occurrence of arrhythmia in patients with different number or location of diseased coronary arteries was compared.Results In 80 patients with myocardial infarction,the arrhythmia rate was 98.75%(79/80).The incidence of malignant or complex arrhythmia was lower in patients with single-vessel coronary lesions than in patients with double-vessel and multi-vessel disease(both P<0.05).The incidence of atrial arrhythmia was lower in patients with single or double-vessel coronary lesions than in patients with multi-vessel disease(both P<0.05).The incidence of malignant or complex arrhythmia in patients with diseased left anterior descending artery and left main coronary artery was higher than that in patients with right coronary artery and patients with left circumflex artery(both P<0.05).The incidence of atrial arrhythmia in patients with left anterior descending artery and left main coronary artery was higher than that in patients with right coronary artery and patients with left circumflex artery(both P<0.05).Conclusion Patients with myocardial infarction are prone to arrhythmia.Ambulatory electrocardiogram can effectively detect arrhythmia that may exist in patients.Patients with more diseased coronary arteries,left anterior descending artery and left main coronary artery lesions are more likely to have malignant or complex arrhythmias and atrial arrhythmias.
作者
刘泳江
Liu Yongjiang(Electrocardiogram Room,Jiaozhou People’s Hospital,Qingdao 266300,China)
出处
《中华心脏与心律电子杂志》
2019年第1期18-20,共3页
Chinese Journal of Heart and Heart Rhythm(Electronic Edition)
关键词
心肌梗死
心律失常
冠状动脉
动态心电图
Myocardial infarction
Arrhythmia
Coronary artery
Ambulatory electrocardiogram
