心电图对前壁ST段抬高型心肌梗死患者多支冠脉病变的预测效果.docVIP

心电图对前壁ST段抬高型心肌梗死患者多支冠脉病变的预测效果 　　【摘要】 目的：研究心电图对前壁ST段抬高型心肌梗死患者多支冠脉病变的预测效果。方法：选取2013年9月-2014年12月在本院进行治疗的急性心肌梗死患者88例，根据患者入院前的心电图和冠动脉影像资料将患者分为观察组和对照组，其中观察组确诊为多支冠脉病变，对照组只存在单支血管病变，其中包括观察组48例，对照组40例。分别将两组患者入院前的心电图和冠动脉影像资料进行对比分析，研究心电图对前壁ST段抬高型心肌梗死患者多支冠脉病变的预测效果。结果：两组ST段抬高患者中，aVL导联共22例，其中观察组13例，对照组9例；V6导联共38例，其中观察组27例，对照组11例，两组的ST段抬高心电图aVL导联和V6导联比较差异有统计学意义（P0.05），心电图ST段抬高0.05～0.1 mV和0.1 mV的三支病变比例比较差异有统计学意义（P0.1 mV比抬高0.05～0.1 mV敏感性好、准确性高、特异性相近且阴性预测价值较低、阳性预测价值较高。结论：心电图对前壁ST段抬高型心肌梗死患者多支冠脉病变具有较高的阳性预测价值，多支冠脉病变与前壁ST段抬高程度密切相关 【关键词】 心电图； 前壁ST段抬高型心肌梗死； 多支冠脉病变； 预测效果 【Abstract】 Objective：To study the prediction effect of ECG in patients of anterior wall myocardial infarction with ST segment elevation and multivessel coronary artery disease.Method：88 patients with acute myocardial infarction were treated in our hospital from September 2013 to December 2014，according to artery imaging data and ECG before admission，the patients were divided into observation group and control group， the observation group of 48 cases with multi vessel coronary artery disease， while the control group of 40 cases with a single vessel lesion. The ECG and coronary artery imaging data of two groups before admission were analyzed，the effect of prediction on electrocardiogram in patients with anterior wall myocardial infarction with ST segment elevation and multivessel coronary artery disease were observed. Result：In ST segment elevation of two groups，aVL lead a total of 22 cases，the observation group of 13 cases， control group of 9 cases； V6 lead a total of 38 cases， 27 cases in the observation group， 11 cases in the control group，compared the ECG of aVL lead and V6 lead， the differences were statistically significance（P0.05）.Compared three lesions of ST segment elevation in 0.05-0.1 mV and ST segment elevation0.1 mV， the difference was statistically significant（P0.1 mV were better than the elevation of 0.05-0.1 mV， specificity was similar，the ST elevation level0.1 mV of lower negative predictive value and hig