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巨大负性T波患者冠心病的预测影响因素
引用本文:曾勇,朱文玲,黄超联,沈珠军,张抒扬,姜秀春,李艳华. 巨大负性T波患者冠心病的预测影响因素[J]. 中华心血管病杂志, 2003, 31(11): 845-847
作者姓名:曾勇  朱文玲  黄超联  沈珠军  张抒扬  姜秀春  李艳华
作者单位:100730,北京,中国医学科学院,中国协和医科大学,北京协和医院心内科
摘    要:目的:探讨心电图巨大负性T波在冠心病诊断中的预测价值。方法:回顾性分析1998年1月至2001年12月64例心电图示巨大负性T波并在我院行冠状动脉造影检查的患者,对其心电图、超声心动图和临床资料进行统计分析。结果:心电图示无左心室肥厚或表现为对称性巨大负性T波则支持冠心病的诊断。巨大负性T波患者心电图缺乏左心室肥厚较对称性T波倒置对冠心病更有预测价值。结论:心电图巨大负性T波患者不伴左心室肥厚或对称性T波倒置是预测冠心病的重要因素。

关 键 词:巨大负性T波 冠心病 预测 影响因素 诊断 心电图
修稿时间:2002-10-21

Diagnostic value of giant negative T wave on coronary artery disease
ZENG Yong,ZHU Wen-ling,HUANG Chao-lian,et al.. Diagnostic value of giant negative T wave on coronary artery disease[J]. Chinese Journal of Cardiology, 2003, 31(11): 845-847
Authors:ZENG Yong  ZHU Wen-ling  HUANG Chao-lian  et al.
Affiliation:ZENG Yong,ZHU Wen-ling,HUANG Chao-lian,et al. Department of Cardiology,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100730,China
Abstract:Objective To explore the value of giant negative T wave in diagnosis of coronary artery disease. Methods From January 1998 to December 2001,64 patients received coronary angiography and electrocardiogram(ECG) showed giant negative T wave. The ECG and clinical data were retrospectively reviewed.Results The absence of left ventricular hypertrophy on ECG and symmetric T-wave inversion strongly favored the presence of coronary artery disease. Conclusion The absence of left ventricular hypertrophy and the presence of symmetric T-wave inversion suggest the presence of coronary artery disease in those with giant negative T wave.
Keywords:Hypertrophy   left ventricular  Coronary angiography  Giant negative T wave
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