探讨扩张型心肌病伴心衰患者跨壁复极离散度分析.docVIP

探讨扩张型心肌病伴心衰患者跨壁复极离散度分析 湖南省耒阳市人民医院湖南耒阳421800 摘 要 目的探讨扩张型心肌病患者体表心电图QT间期、QTpeak.邛 (从T波顶点向等电位线作垂线的交点到T波终点的时限)的变化，探讨其可能 的临床意义。方法收集20012年6月-2015年6月我院住院病人120例，全部确 诊为扩张性心肌病，对照组60例，为经心脏超声，24小时动态心电图证实身体 健康的人，行常规十二导联心电图检查，测量QT间期、QTpeak与Tp?e,采用 Bazzettprime;s 校正公式 QTc 二 QT/RR1/2, QTpeakc = QTpeak /RR1/2, T (p-e) c=QTc-QTpeakc得出QTc、T (p-e) c及T (p-e) c/QTc值。结果 与健康对照组比 较，扩张型心肌病患者心电图QTc、T (p-e) c及T (p-e) c/QTc明显增大差异有 统计学意义(Plt;0.05), QTpeakc无统计学差异(Pgt;0.05)。结论 扩张型心 肌病患者体表心电图Tp-e Tp-e/QT的显著增大可作为扩张型心肌病伴有心衰的 患者发牛多形性室性心动过速、心脏性猝死的预警指标之一。 关键词 心肌疾病/心电描记术；心力衰竭；@离数度 [Abstract] Objective To investigate the effect of dilated cardiomyopathy patients Electrocardiogram QTinterval and QT peak, Tp-e (from a peak of T wave to the equipotential lines for vertical intersection and T wave end time) changes and discuss its clinical sign讦icance.Methods pc20012 in June - 2015 in June in our hospital 120 cases of hospitalized patients, all diagnosed dilated cardiomyopathy, 60 cases in the control group, by echocardiography, 24-hour dynamic electrocardiogram confirmed health, routine 12 lead electrocardiogramC ECG)and measurement of QT interval and QT peak and Tp-e by Bazzett s correction formula QTc = QT/RR1/2, QTpeakc = QT peak /RR1/2, t( P-E )c=QTc?QTpeakc that QTc, t( P-E )C and t( P-E)C /QTc value.Results compared with the healthy control group, QTc, C(P-E)T and C(P-E)/QTcT in dilated cardiomyopathy patients were significantly different (lt;0?05P), QTpeakc (P) was not statistically significant (gt;0.05) .Conclusion the significant increase of Tp-e and Tp-e/QT in patients with dilated cardiomyopathy can be used as one of the early warning indicators of polymorphic ventricular tachycardia and sudden cardiac death in patients with dilated cardiomyopathy with heart failure. [Key words] myocardial disease / ECG； heart failure； @ degree 扩张性心肌病的发病原因较多，i般为感染或使用抗肿瘤药物之后产生的不 良反应，扩张性心肌病最为常见的一个症状应为心律失常。而心力衰竭是各种心 脏病发展的终末期，也是扩张型心肌病的常见合并症[1-2],直接影响着患者的预 后。心室壁复极离散度(Transmural dispersion ofrepolarization, TDR)是二位相 折返