CAJ | 학술논문

目的探讨急性心肌梗死(AMI)溶栓后心率变异性(HRV)的近日节律变化.方法将我院AMI患者按照是否溶栓及溶栓再通与否分为再通组、溶栓未通组、未溶栓组各40例,采用动态心电图评估HRV的变化规律.结果再通组患者TF、LF、HF明显高于未通组及未溶栓组,差异有显著性(P＜0.05).再通组患者LF/HF明显低于未通组及未溶栓组,差异有显著性(P＜0.05).未通组患者TF、LF、HF及LF/HF与未溶栓组比较差异无显著性(P＞0.05).结论心肌梗死溶栓再通能明显改善HRV的近日节律.
목적 탐토급성심기경사(AMI)용전후심솔변이성(HRV)적근일절률변화.방법 장아원AMI환자안조시부용전급용전재통여부분위재통조、용전미통조、미용전조각40례,채용동태심전도평고HRV적변화규률.결과 재통조환자TF、LF、HF명현고우미통조급미용전조,차이유현저성(P＜0.05).재통조환자LF/HF명현저우미통조급미용전조,차이유현저성(P＜0.05).미통조환자TF、LF、HF급LF/HF여미용전조비교차이무현저성(P＞0.05).결론 심기경사용전재통능명현개선HRV적근일절률.
Objective To investigate the circadian of heart rate variability(HRV)in cases with acute myocardial infarction(AMI)after thrombolysis.Method The cases with AMI were divided into the recanalization group,the no-recanalization group and the no-thrombolysis group.The dynamic electrocardiogram was used to evaluate the HRV.Results The levels of TF,LF and HF in the recanalization group were obviously higher than those in no-recanalization group and the no-thrombolysis group,and there were significant differences among them(P ＜ 0.05).The levels of LF/HF in the recanalization group were much lower than those in no-recanalization group and the no-thrombolysis group,with statistical significant differeuce in them(P ＜ 0.05).The levels of TF,LF,HF and LF/HF in the no-thrombolysis group were same to those in no-recanalization group,and there was no significant difference(P ＞ 0.05).Conclusion The circadian of HRV can be obviously improved by recanalization with AMI after thrombolysis.