河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
2期
255-258
,共4页
急性冠状动脉综合征%心电图%冠状动脉造影%相关性
急性冠狀動脈綜閤徵%心電圖%冠狀動脈造影%相關性
급성관상동맥종합정%심전도%관상동맥조영%상관성
Acute coronary artery syndrome%Electrocardiogram%Coronary angiography%Corre-lation
目的：分析急性冠状动脉综合征心电图表现及与冠状动脉造影结果相关性。方法：选择2010年1月至2013年6月收治的急性冠状动脉综合征患者120例,所有患者均做心电图和冠状动脉造影检查,观察其心电图表现,分析心电图表现与冠状动脉造影结果的相关性。结果：①STEMI 心电图表现为相应导联ST段抬高/弓背向上抬高,T波高耸、双相、倒置多变,多合并心律失常；NSTEMI心电图表现为肢体导联、胸导联ST段压低,T波低平、倒置,ST-T改变持续存在和ST-T呈动态衍变两种情况；UA心电图表现形式多样,以发病时ST-T缺血性改变为主；②STEMI、NSTEMI患者病态狭窄血管发生率为100%,明显高于UA患者的31.43%,比较差异有统计学意义(χ2=4.63,P<0.05)；③ACS心电图分型与血管狭窄程度相关性分析,ACS心电图分型与血管狭窄程度有关联(χ2=5.68,ν=8,P<0.05),Pearson列联系数rp=0.570。结论：ACS心电图表现具有多样性,STEMI、NSTEMI患者发生单支或多支冠状动脉血管狭窄程度>50%的概率较高,ACS心电图分型与血管狭窄程度有相关性。
目的：分析急性冠狀動脈綜閤徵心電圖錶現及與冠狀動脈造影結果相關性。方法：選擇2010年1月至2013年6月收治的急性冠狀動脈綜閤徵患者120例,所有患者均做心電圖和冠狀動脈造影檢查,觀察其心電圖錶現,分析心電圖錶現與冠狀動脈造影結果的相關性。結果：①STEMI 心電圖錶現為相應導聯ST段抬高/弓揹嚮上抬高,T波高聳、雙相、倒置多變,多閤併心律失常；NSTEMI心電圖錶現為肢體導聯、胸導聯ST段壓低,T波低平、倒置,ST-T改變持續存在和ST-T呈動態衍變兩種情況；UA心電圖錶現形式多樣,以髮病時ST-T缺血性改變為主；②STEMI、NSTEMI患者病態狹窄血管髮生率為100%,明顯高于UA患者的31.43%,比較差異有統計學意義(χ2=4.63,P<0.05)；③ACS心電圖分型與血管狹窄程度相關性分析,ACS心電圖分型與血管狹窄程度有關聯(χ2=5.68,ν=8,P<0.05),Pearson列聯繫數rp=0.570。結論：ACS心電圖錶現具有多樣性,STEMI、NSTEMI患者髮生單支或多支冠狀動脈血管狹窄程度>50%的概率較高,ACS心電圖分型與血管狹窄程度有相關性。
목적：분석급성관상동맥종합정심전도표현급여관상동맥조영결과상관성。방법：선택2010년1월지2013년6월수치적급성관상동맥종합정환자120례,소유환자균주심전도화관상동맥조영검사,관찰기심전도표현,분석심전도표현여관상동맥조영결과적상관성。결과：①STEMI 심전도표현위상응도련ST단태고/궁배향상태고,T파고용、쌍상、도치다변,다합병심률실상；NSTEMI심전도표현위지체도련、흉도련ST단압저,T파저평、도치,ST-T개변지속존재화ST-T정동태연변량충정황；UA심전도표현형식다양,이발병시ST-T결혈성개변위주；②STEMI、NSTEMI환자병태협착혈관발생솔위100%,명현고우UA환자적31.43%,비교차이유통계학의의(χ2=4.63,P<0.05)；③ACS심전도분형여혈관협착정도상관성분석,ACS심전도분형여혈관협착정도유관련(χ2=5.68,ν=8,P<0.05),Pearson렬련계수rp=0.570。결론：ACS심전도표현구유다양성,STEMI、NSTEMI환자발생단지혹다지관상동맥혈관협착정도>50%적개솔교고,ACS심전도분형여혈관협착정도유상관성。
Objective:To study the correlation of ECG and coronary angiography of acute coronary ar-tery syndrome. Method:120 cases of acute coronary syndrome from Jan. 2010 to Jun. 2013 in our hospital, all patients had electrocardiogram and coronary angiography, observed the ECG and its correlation with coro-nary angiography. Result:①ECG manifestations of STEMI was corresponding ST segment elevation in lead /arched elevation, T wave height, duplex, inverted and changeable and mostly complicated with arrhythmia;ECG manifestations of NSTEMI was limb lead, precordial ST segment depression, T wave flat, inversion, ST-T were persistence and ST-T dynamically evolve; The manifestations’ forms of UA was diversity, mostly was the ischemic change of ST-T;②The occurrence rate of morbid stenosis in patients with STEMI, NSTE-MI was 100%, significantly higher than 31. 43% of UA patients, the difference was statistically significant (χ2=4.63,P<0.05);③According the correlation analysis of the ACS electrocardiogram degree and vascular stenosis, the ACS electrocardiogram degree was associated with vascular stenosis (χ2=5.68,ν=8,P<0.05) , Pearson contingency coefficient rp=0.570. Conclusion:The electrocardiogram manifestations of ACS has di-versity, STEMI, NSTEMI patients have a higher probability of more than 50% of single or multi vessel coro-nary artery stenosis, ECG classification of ACS is correlated with the degree of vascular stenosis.
