探讨缺血性心肌病与扩张型心肌病心电图特点研究.docVIP

探讨缺血性心肌病与扩张型心肌病心电图特点研究 大庆油田总医院163000 摘 要 目的研究并探讨缺血性心肌病(ICM)与扩张型心肌病(DCM)的 心电图特点。方法此次研究的对象是选择2012年1月?2014年12月收治的 60例心肌病患者，将其临床资料进行回顾性分析，并均经冠脉造影确诊，缺血 性心肌病(ICM组)与扩张型心肌病(DCM组)各30例，所有患者均接受心电 图检查，比较分析两组心电图特点。结果ICM组患者Rv6/Rmax3.0以上比率、 病理性Q波总体出现率分别为0.00%、33.33%,与DCM组的66.67%、6.67%比 较差异有统计学意义(Plt;0.05)o另外,两组Rl[ (0.68plusmn;0.33) VS (0.51 plusmn;0.30)]mV Rv6[(1.26plusmn;0.71) VS(1.78plusmn;0.80)]mV、 Rv6/Rmax[ (2.09plusmn;1.24) VS (3.24plusmn;1.22) ]mV 振幅大小比较差异 有统计学意义(Pt;0.05)o结论心电图提示病理性Q波改变为缺血性心肌病 的概率大，心电图提示Rv6/Rmax3.0以上为扩张型心肌病的几率大。 关键词 缺血性心肌病；扩张型心肌病；心电图；特点 Abstract Objective To study the characteristics of electrocardiogram (ECG) in patients with ischemic cardiomyopathy (ICM) and dilated cardiomyopathy (DCM). Methods the subjects of this study are selected from January 2012 to December 2014 treated 60 cases of patients with cardiomyopathy, the retrospective analysis of the clinical data, and were confirmed by coronary angiographydCM group), ischemic cardiomyopathy and dilated cardiomyopathy (DCM group) 30 cases, all patients received ECG exami nation, comparative analysis betwee n the two groups the characteristics of. Results the incidenee rate of Rv6/Rmax3.0 in ICM group was 0% and 33.33% respectively, and the difference was statistically significant between 66.67% and 6.67% in group DCM (Plt;0.05) . In addition, two groups of Rl[ (0.68 + 0.33)VS(0.51 + 0.30)]mV, Rv6[(1.26 + 0.71 )VS( 1.78 + 0.80)]mV, Rv6/Rmax[(2.09 + 1.24) VS( 3.24 + 1.22) was statistically sign ifica nt d iff ere nee betwee n the amplitude of] mV (Plt;O.O5) ? Con elusion the ECG suggests that the pathological cha nges of Q wave is the probability of ischemic cardiomyopathy, and the electrocardiogram is more than Rv6/Rmax3.0. Key words ischemic cardiomyopathy； dilated cardiomyopathy； electrocardiogram； characteristics 心肌病类型主要包括缺血性与扩张型，均表现出心脏扩大、充血性 心衰等临床特点[1],但这两类心肌病在发病机制、治疗原则上却存在明显不同。 缺血性心肌病(ICM)是在冠脉粥样便化基础上血管狭窄致使心肌长时间缺血引 起，也可能是大面积心肌梗死后发生。而扩张型心肌病(DCM)则为弥散性心肌 损伤,主要由不确定性心肌损害因素引起⑵。为此区别ICM与DCM对疾病临床 诊断、治疗具有十分重要的