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急性心肌梗死早期及溶栓后QT离散度的测定与心律失常关系

Relationship between QT dispersion test and arrhythmia in the early period of acute myocardial infarction and after thrombolysis
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摘要 目的 急性心肌梗死 (AMI)患者溶栓前后QT离散度测定与心律失常的关系。方法 将 6 7例AMI患者中有心律失常的 30例分为心律失常组 ,37例无心律失常分为对照组 ,测定溶栓前后QT离散度。结果 AMI心律失常组与对照组间QTd差异有极显著性 (94 8± 9 2msvs 6 6 .32± 12 2ms,P <0 0 1) ,溶栓后QTd降至 6 8 3± 8 8ms,心律失常消失。结论 成功的溶栓可使QTd显著下降 ,减少危险心律失常的发生。 Objective The relationship between QT dispersion test and arrhythmia of the patients of acute myocardial infarction(AMI) before and after thrombolysis.Method To take 30 patients with arrhythmia out of 67 AMI patients as the group of arrhythmia,and 37 patients without arrhythmia as the check group and to test their QT dispersion before and after thrombolysis.Result QTd difference between the group of AMI with arrhythmia and check group is remarkable(94.8±9.2 ms vs 66.32±12.2 ms,P<0.01).The arrhythmia disappeared when QTd reduced to 68.3±8.8 ms.Conclusion Successful thrombolysis will reduce the QTd remarkably and reduce the occurrence of the dangerous arrhythmia. [
出处 《中国急救医学》 CAS CSCD 北大核心 2000年第9期531-531,共1页 Chinese Journal of Critical Care Medicine
关键词 QT离散度 心律失常 急性心肌梗死 溶栓疗法 QT dispersion Myocardial infarction Arrhythmia
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