摘要
目的探讨既往有脑中风病史的急性心肌梗死ST段抬高(STEMI)病人心电图特征与临床预后的关系。方法选择既往有脑中风病史STEMI56例(观察组)。另随机选无脑中风病史(对照组)60例,入选者检测心电图PTFV1负值,Q波导联数,QT C间期,心肌梗死部位及基础疾病(高血压、糖尿病、高血脂),并发症(心源性休克、泵衰竭、MI扩展、恶性心律失常、病死率)等。结果既往有脑中风病史患者STEMI发生率为11.3%,心电图PTFV1负值增大(59.0%VS21.7%),Q波导联数及复合前壁MI多见(50.6%VS31.7%),QT C间期延长。合并高血压病史(73.7%VS37.7%),糖尿病(16.7%VS8.3%),高血脂(36.5%VS13.3%)均较多。并发心源性休克(13.5%VS6.7%),泵衰竭(25.0%VS13.3%),MI扩展(13.5%VS6.7%),恶性心律失常(30.1%VS15.0%),死亡率(21.8%VS8.3%)等均高对照组P<0.05-P<0.01。结论既往有脑中风史STEMI患者心电图多项指标明显异常,并发症多及短期病死率非常高,提示临床医生应当更积极地治疗。
【Objective】 To study the effect of characteristics of EGG on the prognosis among the STEMI patients with the previous history of stroke.【Methods】 Through the comparison of the minus PTFV1,leads with Q wave,QT C interplays,part of myocardial inferction,basic diseases（hypertension,diabetes,hyperlipaemia）.Complications（cardinal shock,heart failure,pump failure,malignant arrhythmia MI enlargement,death-rate etc,between the groups with or without the history of stroke,analyze the involved factors）.【Results】 The STEMI patients with the history of stroke are higher minus PTFV1,（59.0%VS21.7%）,more leads with Q wave and complicated anterior wall MI,are more incident with hypertension（73.7%VS37.7%）,diabetes（16.7%VS8.3%）,hyperlipaemiae（36.3%VS13.3%）,and are more complied with cardinal shock（13.5%VS6.7%）,pump failure（25.0%VS13.3%）,Malignant arrhythmia（30.1%VS15.0%）,MI enlargement（13.5%VS6.7%）death-rate（21.8%VS8.3%）etc.【Conclusion】 The STEMI,with the history of stroke have the obvious changes in ECG,more,complications and higher short-term death-rate.
出处
《中国医学工程》
2011年第8期54-56,共3页
China Medical Engineering
