CAJ | 학술논문

目的：分析急性肺栓塞患者的心电图表现，探讨急性肺栓塞患者心电图表现对临床预后的评估作用。方法：回顾性分析525例急性肺栓塞患者的心电图特征，以病情危重和临床死亡为观察事件，采用logistic回归分析急性肺栓塞患者心电图表现与住院期间临床预后的关系。结果：525例肺栓塞患者中60例住院期间死亡，108例病情危重。心率＞100 min－1、完全性右束支传导阻滞、房颤是APE患者住院期间死亡的预后影响因素[OR（95％CI）＝4．366&nbsp；（2．361～8．073）、4．546（1．675～12．336）、2．797（1．112～7．036），P＜0．05]；同时V1导联QR波、心率＞100 min－1、房颤、TV3倒置是APE患者住院期间病情危重的预后影响因素[OR（95％CI）＝3．150（1．292～7．678）、2．865（1．790～4．586）、2．733（1．190～6．276）和2．201（1．326～3．653），P＜0．05]。结论：心率＞100 min－1、房颤、V1导联QR波、完全性右束支传导阻滞及TV3倒置是急性肺栓塞患者住院期间预后不良的影响因素。
목적：분석급성폐전새환자적심전도표현，탐토급성폐전새환자심전도표현대림상예후적평고작용。방법：회고성분석525례급성폐전새환자적심전도특정，이병정위중화림상사망위관찰사건，채용logistic회귀분석급성폐전새환자심전도표현여주원기간림상예후적관계。결과：525례폐전새환자중60례주원기간사망，108례병정위중。심솔＞100 min－1、완전성우속지전도조체、방전시APE환자주원기간사망적예후영향인소[OR（95％CI）＝4．366&nbsp；（2．361～8．073）、4．546（1．675～12．336）、2．797（1．112～7．036），P＜0．05]；동시V1도련QR파、심솔＞100 min－1、방전、TV3도치시APE환자주원기간병정위중적예후영향인소[OR（95％CI）＝3．150（1．292～7．678）、2．865（1．790～4．586）、2．733（1．190～6．276）화2．201（1．326～3．653），P＜0．05]。결론：심솔＞100 min－1、방전、V1도련QR파、완전성우속지전도조체급TV3도치시급성폐전새환자주원기간예후불량적영향인소。
Aim:To assess the role of electrocardiographic (ECG) in estimating clinical outcome of patients hospital-ized with acute pulmonary embolism ( APE) by analyzing the different ECG patterns .Methods:A retrospective analysis of 525 patients who had confirmed APE was performed , and multiple logistic regression was used to analyze the relationship between ECG and clinical outcome in patients with APE during the hospital .Results:Among 525 patients with APE ,108 developed complications and 60 died during hospitalization .Multiple logistic regression revealed that sinus tachycardia , complete right bundle branch block , and atrial fibrillation were the significant independent predictors of death [ OR ( 95%CI)=4.366(2.361-8.073),4.546(1.675-12.336), and 2.797(1.112-7.036),P<0.05];QR in V1,sinus tachy-cardia, atrial fibrillation, and T wave inversion in V3 were the significant independent predictors of complicated APE [OR (95%CI)=3.150(1.292-7.678),2.865(1.790-4.586), 2.733(1.190-6.276), and 2.201(1.326-3.653), P<0.05] .Conclusion:Sinus tachycardia, atrial fibrillation, QR in V1, complete right bundle branch block and T wave inversion in V3 could be the independent predictors of adverse clinical outcome in patients with APE during hospitalization .