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Holter检测中Q-Tc延长诊断心肌缺血的价值 被引量:2

AGE OF ONSET RELATED HLA DQA1 GENETIC HETEROGENEITYOF INSULIN DEPENDENT DIABETES MELLITUS
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摘要 通过磁带式24h连续动态心电监测,对186例确诊心肌梗死连续病例及50例非冠心病者进行Q-Tc分析,并与传统ST段指标相比较。Q-Tc延长检出心肌缺血的敏感性与特异性分别为92.5%与96.0%;ST段指标诊断心肌缺血的敏感性与特异性分别为69.4%与100%。两组敏感性差别有高度显著性(P<0.01).两组特异性差别无显著性(P>0.05)。结果提示:Holter检测中Q-Tc的延长能作为心肌缺血的判断指标之一。 Possible heterogeneity in immunogenetic aspects of IDDM was investigated by comparing the findings on relationship between HLA DQA1 52 Arg(+)and IDDM predisposition in three groups with different age of IDDM onset(group A≤14 year)group B 15 ̄30 year,group C≥31 year.Results showed that the frequency of HLA DQA1 52 Arg(+)in group A(87.5%)was higher than thar in control (53.9%, P <0.05)and in group B and C( P <0.05),the frequency of HLA DQA1 52 Arg(+)/Arg(+)phenotype in group A (75%)was higher than that in group C (23.1%, P <0.05).It was concluded that the contribution of HLA DQA1 52 arginine to IDDM susceptibility is heterogeneous,further study is necessary to clarify the immunogenetic entity of IDDM.
出处 《中山医科大学学报》 CSCD 1996年第3期202-204,共3页 Academic Journal of Sun Yat-sen University of Medical Sciences
关键词 心肌梗塞 心肌缺血 诊断 心电图 diabetes mellitus,insulin dependent/genetics HLA DQ antigens/genetics heterogeneity age factors
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参考文献4

  • 1梁云清,临床心血管病杂志,1995年,4卷,206页
  • 2孙冰,现代医疗仪器与应用,1994年,3卷,14页
  • 3李忠杰,心电学杂志,1994年,3卷,147页
  • 4陈树勋,中华心血管病杂志,1988年,16卷,95页

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