QRS wave group forms on heart function in patients with acute myocardial infarction and prognosis of.doc

 PAGE \* MERGEFORMAT 14 QRS wave group forms on heart function in patients with acute myocardial infarction and prognosis of Of: Wang Rongying Tianying Ping Zhang Rui Shi Hanwen Guoxian Li Lei Li Xu [Abstract] Objective acute ST segment elevation myocardial infarction (STEMI admission electrocardiogram in patients with QRS wave changes of ischemia group classification, the clinical significance of ischemic classification. Methods 223 cases of STEMI patients according to admission electrocardiogram QRS wave group changes in ischemic Rating: 2 ischemia group (134 patients: ST segment elevation but no change in the Ministry of QRS wave terminal, 3 ischemic group (89 cases: In addition to ST segment elevation addition, QRS wave terminal Ministry distorted and often accompanied by increased R waves and S waves disappear. two groups of patients within 12 h onset underwent thrombolytic therapy, ECG ST segment changes observed after infarction 2 w line 99m Tc-methoxy isobutyl isocyanide (99mTc MIBI myocardial perfusion tomography (SPECT and 99m Tc red blood cell (99mTc RBC blood pool imaging of myocardial infarct size and heart function, statistical group 2 patients incidence of complications during hospitalization. Results after thrombolysis on admission and 2 h, 3 missing ST segment elevation of blood group rate (ST were significantly greater than the two ischemic groups (P lt;0.01, after thrombolysis, 2 h, ST segment was significantly lower than back down 2 ischemic groups (P lt;0.01,3 creatine kinase level in ischemia group (CK MB level 2 peak was significantly higher than ischemic group (P lt;0.01, myocardial infarction ischemic area of more than 2 groups (P lt;0.05, left ventricular ejection fraction lower than 2 ischemic group (P lt;0.05, two groups of patients with severe arrhythmias, heart failure or cardiogenic shock, recurrent myocardial infarction and the incidence of hospital mortality were not significantly different, but 3 ischemic group had more