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The Predictive Value of Tp-ec, Q-Tc, Tp-e/Q-T and HRV in Malignant Ventricular Arrhythmia
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作者 Guijun Xie Songwen Zhang 《Journal of Biosciences and Medicines》 2021年第7期22-28,共7页
<strong>Objective:</strong> To explore the predictive ability of Tp-ec, Q-Tc, Tp-e/Q-T and HRV on malignant arrhythmia during hospitalization. <strong>Method:</strong> 100 patients with maligna... <strong>Objective:</strong> To explore the predictive ability of Tp-ec, Q-Tc, Tp-e/Q-T and HRV on malignant arrhythmia during hospitalization. <strong>Method:</strong> 100 patients with malignant ventricular arrhythmia were included as the experimental group, another 100 patients without malignant ventricular arrhythmia were included as control group. The differences of Tp-ec, Q-Tc, Tp-e/Q-T and HRV were compared between the two groups. Multivariate logistic regression analysis was used to study variables and establish prediction model. ROC curve was used to evaluate the predictive ability and best predictive value of each index for malignant ventricular arrhythmia in hospital. <strong>Result:</strong> Compared with the control group, Tp-ec, Q-Tc, Tp-e/Q-T and HRV in the experimental group were significantly increased, (P < 0.001), HRV was decreased significantly. Multivariate logistic regression showed that the increase of Tp-ec, Q-Tc, Tp-e/Q-T and the decrease of HRV were the risk factors of malignant ventricular ventricular arrhythmia in hospital (OR = 11.169, 1.788, 1.001, 0.780), and bulid prediction model Z = -254.827 + 0.203 * Tp-ec + 0.581 * Q-Tc + 878.066 * Tp-e/Q-T-0.248 * SDNN. ROC curve showed that the area under the curve (AUC) of TP EC, Q-Tc, Tp-e/Q-T, HRV and predictive model for the diagnosis of malignant ventricular ventricular arrhythmia in hospital were 0.988, 0.905, 0.973, 0.901, 0.993, the best critical values were 100.365 ms, 447.078 ms, 0.239, 100.500, 181.792. <strong>Conclusion:</strong> The decrease of Tp-ec, Q-Tc, Tp-e/Q-T and HRV were the risk factors of malignant ventricular arrhythmia, and has predictive value for malignant ventricular arrhythmia in hospital. The prediction model combined with Tp-ec, Q-Tc, Tp-e/Q-T and HRV can improve the prediction ability of variables on malignant ventricular arrhythmia in hospital. 展开更多
关键词 tp-ec q-tC tp-e/q-t HRV Malignant Ventricular Arrhythmia
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健康特勤人员高耸T波特点及健康鉴定
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作者 戴伟川 李艳娟 《中华保健医学杂志》 2011年第6期466-466,509,共2页
高耸T波在健康特勤人员年度疗养常规心电图检查中常可遇到,如何判断其临床意义直接关系到疗养健康鉴定结论的准确性。笔者对1998年1月—2010年11月检出的69例高耸T波者进行总结分析如下。
关键词 高耸T波 迷走神经 tp-e/q-t比值 特勤人员
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尿毒症患者Q—T离散度和T波峰末间期的研究
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作者 谢晓林 林玎 路长 《心电学杂志》 2010年第6期470-472,共3页
目的探讨行维持性血液透析的尿毒症患者是否存在区域性和跨心室壁复极离散度(TDR)增大。方法分别测量行维持性血液透析的尿毒症患者(尿毒症组,n=35例)和正常健康者(对照组,n=40例)体表心电图的Q—T间期、R—R间期、丁波峰末问期... 目的探讨行维持性血液透析的尿毒症患者是否存在区域性和跨心室壁复极离散度(TDR)增大。方法分别测量行维持性血液透析的尿毒症患者(尿毒症组,n=35例)和正常健康者(对照组,n=40例)体表心电图的Q—T间期、R—R间期、丁波峰末问期(Tp—e),进而计算Q-T离散度(Q—Td=Q—Tmax—Q—Tmin)、心率校正的Q—T离散度(Q—Td/R√R--R),心率校正的最大Tp—e间期(Tp—emax/√R-R)、T波峰末问期离散度(Tp—ed=Tp—emax—Tp—emin)、心率校正的Tp—e间期离散度(Tp—ed/√R—R)。结果尿毒症组的Q—T离散度及校正的Q—T离散度较对照组明显延长(66.3±15.9VS40.2±12.4,681±14.8VS44.5±13.1。均P〈0.05);尿毒症组的最大Tp—e间期及最大校正Tp—e间期较对照组明显延长(98.34-14.6VS77.6±12.1,94.2±12.6VS72,54-11.4,均P〈O.05),Tp—e间期离散度及校正的Tp—e问期离散度也较对照组明显延长(48.4±16.3VS32.1±12.3,44.3±12.2VS30.2±12.5,P〈0.05)。结论尿毒症患者的Q—T离散度和Tp—e间期及其离散度较正常者明显延长,表明尿毒症患者区域性和TDR增大。 展开更多
关键词 Q—T离散度 T波峰末间期 尿毒症
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