| 联合观察心电图T波及ST段改变对急性心肌梗死预后的意义 |
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| 引用本文： | 冯广智,陈震,严文娟,丁国斌,徐曙东.联合观察心电图T波及ST段改变对急性心肌梗死预后的意义[J].江苏医药,2008,34(9):910-912. |
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| 作者姓名： | 冯广智 陈震 严文娟 丁国斌 徐曙东 |
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| 作者单位： | 泰兴市人民医院心脏病科,225400 |
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| 摘 要： | 目的 探讨早期T波倒置和(或)ST段回落指标对评估急性心肌梗死(AMI)预后的意义.方法 ST段抬高AMI患者86例,均接受再灌注治疗;ECG监测T波、ST段变化及超声心动图检测左室重构(LVRM),临床观察住院时间,住院期间、半年内心功能及病死率;以ECG早期T波倒置和(或)ST段回落分组,对比分析两项指标单用与联用判断预后的敏感度、特异度及约登指数.结果 单用ECG早期T波倒置或ST段回落指标对LVRM、心衰、病死率等判断的敏感度及特异度无明显差异(P＜O.05),但两项指标联用时敏感度、约登指数均明显提高.结论 联用ECG早期T波倒置和ST段回落两项指标较单用能提高对AMI预后的预测,有助于临床干预的抉择.
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| 关 键 词： | 急性心肌梗死 |
Electrocardiographic algorithms of T wave and ST segment for predicting the prognosis of myocardial infarction |
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| FENG Guangzhi,CHEN Zhen,YAN Wenjuan,et al..Electrocardiographic algorithms of T wave and ST segment for predicting the prognosis of myocardial infarction[J].Jiangsu Medical Journal,2008,34(9):910-912. |
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| Authors: | FENG Guangzhi CHEN Zhen YAN Wenjuan |
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| Institution: | FENG Guangzhi,CHEN Zhen,YAN Wenjuan,et al.Department of Cardiology,People\'s Hospital of Taixing,Taixing 225400,CHINA |
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| Abstract: | Objective To study the significance of T wave inversion and ST segment changes in evaluating the prognosis of acute ST-elevation myocardial infarction(STEMI).Methods The patients were grouped according T wave inversion and ST segment descent on 12-lead ECG of 86 patients with STEMI,who had been received thrombolyse or primary percutaneous coronary intervention(PCI) within 6 hours.The left ventricular elargement,the rate of heart failure and the rate of death within 6 months were compared.Results Combined T ... |
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| Keywords: | Acute myocardial infarction |
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