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QT间期离散度增加与急性心肌梗塞预后的关系
引用本文:戚厚兴,高静,陆红,薛晖,汤丽泳,谢祥兰. QT间期离散度增加与急性心肌梗塞预后的关系[J]. 中国危重病急救医学, 1996, 0(1)
作者姓名:戚厚兴  高静  陆红  薛晖  汤丽泳  谢祥兰
作者单位:山东济宁医学院附院,济南军分区卫生科,济宁市第一医院,山东推土机总厂医院
摘    要:对78例急性心肌梗塞(AMI)患者的QT间期离散度(QTd)进行分析,以探讨其对AMI近期预后的预测价值。结果显示:室性心动过速(VT)、心室颤动(Vf)及猝死者的QTd明显长于无VT、Vf及非猝死者(P<0.01),且前壁梗塞组QTd明显长于下后壁梗塞组(P<0.01或<0.05)。说明QTd是预测AMI近期预后的一项敏感指标。

关 键 词:心肌梗塞,急性QT间期离散度心动过速,室性猝死

Relationship between the increase of QTd and the prognoses of patients with acute myocardial infarction
Qi Houxing,Gao Jing,Lu Hong,et al. Relationship between the increase of QTd and the prognoses of patients with acute myocardial infarction[J]. Chinese critical care medicine, 1996, 0(1)
Authors:Qi Houxing  Gao Jing  Lu Hong  et al
Abstract:To evaluate the value of short term prognosis in acute myocardial infarction,we studied the QTd in 78 patients with acute myocardial infarction.Results indicated that the QTd in ventricular tachycardia,ventricular fibrillation and sudden deaths was obviously longer than that in nonventricular tachycardia.nonventricular fibrillation and non suddendeaths( P <0 01);the QTd in patients with anterior,wall infarction was obviously longer than that in patients with posteroinferior myocardial infarction( P <0 01).The fact suggests that QTd is a sensitive predictor for short term prognoses of patients with acute myocardial infarction.
Keywords:acute myocardial infarction  QTd  ventricular tachycardia  sudden death
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