急性心肌梗死患者心电图对于预判冠脉造影特点的价值研究.pdf

目录

中文摘要········································································1

英文摘要·······································································3

英文缩写·······································································7

研究论文

急性心肌梗死患者心电图对于预判冠脉造影特点的价值研究

前言······································································8

材料与方法·······························································8

结果······································································11

附图······································································19

附表······································································22

讨论······································································26

参考文献··································································34

结论···········································································41

综述急性心肌梗死患者心电图改变和冠脉造影结果的相关性研究

进展

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致谢···············································································51

个人简历············································································53

急性心肌梗死患者心电图对于预判冠脉造影特点的价值研究

摘要

目的：探讨急性心肌梗死（acutemyocardialinfarction，AMI）患

者心电图（Electrocardiogram，ECG）改变对于预测冠脉造影(coronary

angiography，CAG)结果的价值。

方法：采取回顾性研究方法，随机选取2017年9月至2019年4

月于我院就诊并行CAG检查的急性心梗患者120例进行回顾性研

究。采集患者症状发作时的心电图，根据心电图额面QRS-T夹角分

为QRS-T夹角90°组和额面QRS-T夹角≤90°组。心电图相关导联

ST段改变分为ST段抬高组和非ST段抬高组。根据QRS波群时限

分为QRS时限延长组和QRS时限正常组，根据ST段改变的导联数

分为导联数6个组和导联数≥6个组，根据T波是否倒置分为T波倒

置组和非T波倒置组，分析各组患者的病变血管支数、梗死相关血管

狭窄程度、梗死相关血管心肌梗死溶栓治疗临床试验（thrombolysisin

myocardialinfarction，TIMI）血流分级。根据单因素分析结果，通过

多因素logistic回归分析找出影响AMI患者冠脉完全闭塞的危险因

素。

结果：120例AMI患者额面QRS-T夹角90°组56例，占46.7%，

额面QRS-T夹角≤90°组64例，占53.3%；ST段抬高组58例，占

48.3%，非ST抬高组62例，占51.7%