avr导联st段抬高对冠心病患者预测价值word格式论文.docxVIP

联ST段抬高幅度大于AVR导联ST段抬高时，罪犯血管为LAD开口/近端的敏感性84.7％，特异性为15.3%；若伴Ⅰ、Ⅱ、V4-V6导联ST段压低、V1导联ST段抬高 的幅度小于avR导联ST段抬高幅度时，罪犯血管为LM的敏感性21.7%，特异性为 78.3%。（3）AVR 导联 ST 段正常，同时其余各相关导联 ST 段也在正常基线时，不 稳定型心绞痛或非 ST 段抬高型心肌梗死的发生率 23.4%。（4）AVR 导联 ST 段抬高组患者心血管事件的发生率 91.3%显著大于对照 组 14.1%(P＜0.05)。（5）AVR 导联 ST 段抬高组与对照组 LVEF、肌钙蛋白无统计学差异(P＞ 0.05)。结论 AVR 导联 ST 段抬高对评估患者冠脉的狭窄支数及预后有一定参考价值。 关键词 AVR 导联 ST 段抬高 冠心病The Predicting OfInfared Related Artery And Prognosis With ST Segment Elevation OfAVR Lead In Patients Of Coronary HeartDiseaseAbstractObjective To explore vessel lessions,, infared related artery,outcom rates,LVEF, CnTI in patients with ST segment elevation coronary heart disease. ST segment elevation of AVR lead provide a convenient noninvasive method, as a guide for clinical predicting risks.Methods According to electrocardigram,110 cases patients of coronary artery disease were divided into elevation group(46 cases) and no drift group(64 cases),depending on the ST segment change of AVR lead.Then we analyze the relationship between the ST segment change of AVR lead and he vessel lessions, even infared related artery,outcom rates,LVEF,CnTI in patients between these two groups.ResultThe cases with three vessel lessions in ST segment elevation of AVR group 28(65.1%）,were significantly more than in non-ST segment elevation of AVR group16(25.0%)；The cases with left main in ST segment elevation of AVR group 12(20.09%),were significantly more than in non-ST segment elevation of AVR group8(12.5%)。In ST segment elevation of avR lead group,patients with ST segment depression of Ⅰ、Ⅱ、V4-V6 and ST segment elevation of V1 lead is higher thanavR lead ,predicting the left anterior descending as the culprit to the population. If patients ST segment elevation of V1 lead is little than avR lead ,predicting the left main as the culprit to the population.AVR lead ST segment of normal, while the rest of the lead ST segment wasnormal at baseline, the incidence of unstable angina or non ST segment elevation myocardial infarct