CAJ | 학술논문

目的：探索急性心肌炎患者复极跨壁离散度的特点，分析T波峰末（Tp-Te）间期与前脑钠肽的相关性。方法纳入80例病毒性心肌炎患者作为实验组，收集性别、年龄、肌钙蛋白（ cTnI）、肌酸激酶同工酶（ CK-MB）、前脑钠肽（ BNP）等数据，测量心电图的心率、QT间期、Tp-Te间期。另外收集与实验组性别、年龄几乎匹配的78例诊断为室上性心动过速（入院时未发作）患者作为对照组，收集对照组上述数据。结果两组 QT间期比较无统计学差异（P＞0.05）；实验组Tp-Te间期延长（P＜0.05），BNP较对照组高（P＜0.05）。另外，对急性心肌炎患者进行心律失常亚组分析，心律失常组与未发生心律失常组相比，Tp-Te间期无统计学差异（P＞0.05），BNP水平差异显著（P＜0.05）；Tp-Te间期与BNP无相关性（r＝0.201，P＝0.254）。结论急性病毒性心肌炎患者Tp-Te间期延长，BNP水平升高，发生心律失常的患者BNP水平更高，但两者无相关性。
목적：탐색급성심기염환자복겁과벽리산도적특점，분석T파봉말（Tp-Te）간기여전뇌납태적상관성。방법납입80례병독성심기염환자작위실험조，수집성별、년령、기개단백（ cTnI）、기산격매동공매（ CK-MB）、전뇌납태（ BNP）등수거，측량심전도적심솔、QT간기、Tp-Te간기。령외수집여실험조성별、년령궤호필배적78례진단위실상성심동과속（입원시미발작）환자작위대조조，수집대조조상술수거。결과량조 QT간기비교무통계학차이（P＞0.05）；실험조Tp-Te간기연장（P＜0.05），BNP교대조조고（P＜0.05）。령외，대급성심기염환자진행심률실상아조분석，심률실상조여미발생심률실상조상비，Tp-Te간기무통계학차이（P＞0.05），BNP수평차이현저（P＜0.05）；Tp-Te간기여BNP무상관성（r＝0.201，P＝0.254）。결론급성병독성심기염환자Tp-Te간기연장，BNP수평승고，발생심률실상적환자BNP수평경고，단량자무상관성。
Objective To investigate the charactristics of the transmural dispersion of repolarization in patients of acute myocarditis, and had a correlation test between Tp-Te interval and pro-B-type natriuretic peptide( BNP) .Methods 80 acute myocarditis patients were se-lected as experiment group,78 patients of paroxysmal supraventricular tachycardia( PSVT) but not breaking out as control group.The data of sexies,age,cardiac troponin( cTn) I,creatinine kinase isoenzyme ( CK)-MB and BNP of both group were collected,the data of heart rate,QT interval and Tp-Te interval were tested.Results There were significant differences in Tp-Te interval and BNP,but there were not differences in QT interval.There were not differences in Tp-Te between subgroup of arrhymia statistic in acute myocarditis,but had significant difference in BNP.There were no correlation between Tp-Te and BN .Conclusions The Tp-Te interval is prolonged in patients of acute myocarditis, the BNP level is increased,and the BNP level is higher in the patients who occurred arrhymia( s) ,but there is no correlation between Tp-Te interval and BNP level.