急性下壁心肌梗死时心电图对分析心肌梗死相关动脉和闭塞位置的作用(1)
【摘要】
目的：观察急性下壁心肌梗死(AIMI)时心电图对分析心肌梗死相关动脉和闭塞位置的作用。方法：以2018年2月至2019年10月为时间段，选择我院收治的100例AIMI患者，根据梗死类型分成3组，右冠状动脉近段梗死设为甲组(n=35)，右冠状动脉远段梗死设为乙组(n=35)，左回旋支梗死设为丙组(n=30)。观察心电图在判断心肌梗死相关动脉及闭塞位置中的应用情况。结果：(1)甲组、乙组与丙组心电图检测结果，STV3↓呈升高趋势，STⅢ↑呈下降趋势，有明显差异(P<0.05)。(2)STV3/STⅢ<0.5，甲组最高占71.4%;0.5≤STV3/STⅢ≤1.2，乙组最高占62.8%;STV3/STⅢ>1.2时，丙组最高占66.7%。结论：心肌梗死相关动脉及闭塞位置判断中，心电图STV3/STⅢ是有效指标。
【关键词】急性下壁心肌梗死;心电图;心肌梗死相关动脉;闭塞位置;作用
The role of electrocardiogram in the analysis of infarction related artery and occlusion location in acute inferior myocardial infarction
Qi Hui Electrocardiogram room of the first people's Hospital of Jining City， Shandong Province 272000
[Abstract]
Objective：to observe the effect of electrocardiogram (ECG) on the analysis of infarct related artery and occlusion location in acute inferior myocardial infarction (aimi). Methods：from February 2018 to October 2019， 100 patients with aimi admitted to our hospital were divided into three groups according to the type of infarction. The right proximal coronary artery infarction was set as group A (n = 35)， the right distal coronary artery infarction was set as group B (n = 35)， and the left circumflex artery infarction was set as group C (n = 30). To observe the application of electrocardiogram (ECG) in the diagnosis of myocardial infarction related artery and occlusion location. Results： (1) the results of ECG in group A， group B and group C showed an increasing trend in STV3 and a decreasing trend in St Ⅲ (P<0.05). (2) when STV3 / St Ⅲ<0.5， the highest proportion of group A was 71.4%; when 0.5 ≤ STV3 / St Ⅲ ≤ 1.2， the highest proportion of group B was 62.8%; when STV3 / St Ⅲ > 1.2， the highest proportion of group C was 66.7%. Conclusion： ECG STV3 / St Ⅲ is an effective index in judging the location of myocardial infarction related artery and occlusion.
[Key words] acute inferior wall myocardial infarction; electrocardiogram; myocardial infarction related artery; occlusion location; effect
【中圖分类号】
R365 【文献标识码】
B【文章编号】2095-6851(2020)04-252-02
急性下壁心肌梗死是临床常见病症，发病率高，死亡率高，危害性大。早期通过心电图，分析心肌梗死相关动脉及闭塞位置，对急性下壁心肌梗死临床治疗具有指导作用。研究报道，STV3/STⅢ在判断AIMI梗死相关动脉(IRA)中准确率达90%[1]。故此，本文选择100例AIMI患者进行分组研究，探讨急性下壁心肌梗死时心电图对分析心肌梗死相关动脉和闭塞位置的作用。现在汇报如下。
1资料及方法
1.1一般资料
以2018年2月至2019年10月为时间段，选择我院收治的100例AIMI患者，分成3组。右冠状动脉近段梗死设为甲组(n=35)，男性21例，女性14例，年龄45-78岁，平均(58.21±4.82)岁。右冠状动脉远段梗死设为乙组(n=35)，男性22例，13例女性，年龄42-79岁，平均(59.21±4.27)岁。左回旋支梗死设为丙组(n=30)，17例男性，13例女性，年龄40-75岁，平均(59.12±3.94)岁。三组间基本资料无统计学差异(P>0.05)。, 百拇医药(祁晖)
目的：观察急性下壁心肌梗死(AIMI)时心电图对分析心肌梗死相关动脉和闭塞位置的作用。方法：以2018年2月至2019年10月为时间段，选择我院收治的100例AIMI患者，根据梗死类型分成3组，右冠状动脉近段梗死设为甲组(n=35)，右冠状动脉远段梗死设为乙组(n=35)，左回旋支梗死设为丙组(n=30)。观察心电图在判断心肌梗死相关动脉及闭塞位置中的应用情况。结果：(1)甲组、乙组与丙组心电图检测结果，STV3↓呈升高趋势，STⅢ↑呈下降趋势，有明显差异(P<0.05)。(2)STV3/STⅢ<0.5，甲组最高占71.4%;0.5≤STV3/STⅢ≤1.2，乙组最高占62.8%;STV3/STⅢ>1.2时，丙组最高占66.7%。结论：心肌梗死相关动脉及闭塞位置判断中，心电图STV3/STⅢ是有效指标。
【关键词】急性下壁心肌梗死;心电图;心肌梗死相关动脉;闭塞位置;作用
The role of electrocardiogram in the analysis of infarction related artery and occlusion location in acute inferior myocardial infarction
Qi Hui Electrocardiogram room of the first people's Hospital of Jining City， Shandong Province 272000
[Abstract]
Objective：to observe the effect of electrocardiogram (ECG) on the analysis of infarct related artery and occlusion location in acute inferior myocardial infarction (aimi). Methods：from February 2018 to October 2019， 100 patients with aimi admitted to our hospital were divided into three groups according to the type of infarction. The right proximal coronary artery infarction was set as group A (n = 35)， the right distal coronary artery infarction was set as group B (n = 35)， and the left circumflex artery infarction was set as group C (n = 30). To observe the application of electrocardiogram (ECG) in the diagnosis of myocardial infarction related artery and occlusion location. Results： (1) the results of ECG in group A， group B and group C showed an increasing trend in STV3 and a decreasing trend in St Ⅲ (P<0.05). (2) when STV3 / St Ⅲ<0.5， the highest proportion of group A was 71.4%; when 0.5 ≤ STV3 / St Ⅲ ≤ 1.2， the highest proportion of group B was 62.8%; when STV3 / St Ⅲ > 1.2， the highest proportion of group C was 66.7%. Conclusion： ECG STV3 / St Ⅲ is an effective index in judging the location of myocardial infarction related artery and occlusion.
[Key words] acute inferior wall myocardial infarction; electrocardiogram; myocardial infarction related artery; occlusion location; effect
【中圖分类号】
R365 【文献标识码】
B【文章编号】2095-6851(2020)04-252-02
急性下壁心肌梗死是临床常见病症，发病率高，死亡率高，危害性大。早期通过心电图，分析心肌梗死相关动脉及闭塞位置，对急性下壁心肌梗死临床治疗具有指导作用。研究报道，STV3/STⅢ在判断AIMI梗死相关动脉(IRA)中准确率达90%[1]。故此，本文选择100例AIMI患者进行分组研究，探讨急性下壁心肌梗死时心电图对分析心肌梗死相关动脉和闭塞位置的作用。现在汇报如下。
1资料及方法
1.1一般资料
以2018年2月至2019年10月为时间段，选择我院收治的100例AIMI患者，分成3组。右冠状动脉近段梗死设为甲组(n=35)，男性21例，女性14例，年龄45-78岁，平均(58.21±4.82)岁。右冠状动脉远段梗死设为乙组(n=35)，男性22例，13例女性，年龄42-79岁，平均(59.21±4.27)岁。左回旋支梗死设为丙组(n=30)，17例男性，13例女性，年龄40-75岁，平均(59.12±3.94)岁。三组间基本资料无统计学差异(P>0.05)。, 百拇医药(祁晖)
参见：首页 > 医疗版 > 疾病专题 > 心血管科 > 冠状动脉病 > 心肌梗塞