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| 冠心病患者无症状心肌缺血阈的分析 | |
| 引用本文： | 黄红漫,季月芬,许其倓. 冠心病患者无症状心肌缺血阈的分析[J]. 心电学杂志, 2003, 22(1): 16-17 |
| 作者姓名： | 黄红漫 季月芬 许其倓 |
| 作者单位： | 200090,上海市市东医院心内科 |
| 摘 要： | 目的：探讨冠心病患者无症状心肌缺血阈的临床意义。方法：应用24h动态心电监测，检测62例冠心病患者心肌缺血阈值、MIT的变异度、每次缺血发作持续时间和ST段最大位移，以及昼夜缺血次数。结果：共检出506次心肌缺血，93．5％在ST段压低时心率加快，夜间心肌缺血阈值较低，但缺血时间及ST段压低程度明显重于昼间。结论：心肌缺血有不同的机制，应根据情况给予不同的治疗。 |
| 关 键 词： | 冠心病 无症状心肌缺血阈 动态心电图 |
| 修稿时间： | 2002-03-18 |
Myocardial ischemic threshold of silent myocardial ischemia in coronary artery disease |
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| HUANG Hongman,GI Yuefeng,XU Qidan. Myocardial ischemic threshold of silent myocardial ischemia in coronary artery disease[J]. Journal of Electrocardiology(China), 2003, 22(1): 16-17 | |
| Authors: | HUANG Hongman GI Yuefeng XU Qidan |
| Affiliation: | HUANG Hongman,GI Yuefeng,XU Qidan. Department of Cardiology,Shidong Hospital,Shanghai,200090 |
| Abstract: | Objective To evaluate clinical significance of myocardical ischemic threshold of silent myocardial ischemia in coronary artery disease. Methods 62 patients with coronary artery disease were investigated by 24-hour ambulatory electrocardiogram. To observe myocardial ischemic threshold,variability of cardial ischemic threshold, duration of every ischemic episodes. Results Results indicated that 93.5% fast heart rate with ST depression among total 506 ischemic episodes and noctural ischemias had lower threshold and longer mean ischemic time as well as deeper ST depression. Conclusion There are different kinds of mechanism in myocardial ischemia ,it is necessary for us to use different methods in treatment. |
| Keywords: | Coronary artery disease Myocardical ischemic threshold Ambulatory electrocardiogram Variability |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |