| STaVR抬高对急性冠状动脉综合征预后评估的价值 |
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| 引用本文： | 洪本谷,陈珊,徐耕,吴祥,吴美君.STaVR抬高对急性冠状动脉综合征预后评估的价值[J].心电学杂志,2009,28(4):240-241. |
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| 作者姓名： | 洪本谷 陈珊 徐耕 吴祥 吴美君 |
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| 作者单位： | 1. 杭州市余杭区第三人民医院心内科,311115
2. 浙江大学医学院附属第二医院心内科 |
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| 摘 要： | 目的探讨心电图STaVR抬高对急性冠状动脉综合征预后评估的价值。方法回顾性分析68例急性冠状动脉综合征患者的心电图和冠状动脉造影资料、临床资料。根据STaVR抬高是否≥0.05mV分为抬高组（n=23）和非抬高组（n=45）。结果病变血管涉及左主干和左前降支近段的分别为抬高组13例（56.5％）和非抬高组1例（2.2％），病变范围为多支病变的分别为9例（39.1％）和8例（17．8％），发生心脏事件分别为7例（30.4％）和4例（8.9％），两组差异均有非常显著性意义（P〈0．01）。结论急性冠状动脉综合征患者STaVR抬高提示左主干和左前降支近段病变、多支病变的可能，对判断预后有参考价值。
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| 关 键 词： | ST段抬高 急性冠状动脉综合征 预后 |
Prognostic Value of ST Segment Elevation in Lead aVR in Patients with Acute Coronary Syndrome |
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| Institution: | HONG Bengu, CHEN- Shan,XU Geng, et al. (1.Department of Cardiology,Yuhang Third Hospiud, Hangzhou, 311115, China ;2.Department of Cardiology,2nd Affiliated Hospital, College of Medicine, Zhejiang University ) |
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| Abstract: | Objective To evaluate prognostic value of ST segment elevation in lead aVR in patients with acute coro-nary syndrome(ACS). Methods 68 patients with ACS were divided into elevation group(n=23) and non-elevation group (n=45) according to whether ST segment elevation in lead aVR ≥0.05mV or not and their coronary angiography results were analyzed. Results The cases with lesions in left main coronary artery and proximal left anterior descending coro-nary artery, multi-vessel lesions, and cardiac events were significantly more in elevation group (56.5%,39.1% and 30.4%)than in non-elevation group (2.2%,17.8% and 8.9%) (all P < 0.01). Conclusion ST segment elevation in lead aVR may be a predictor of left main coronary artery and proximal left anterior descending coronary artery lesion or multi-vessel le-sion. |
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| Keywords: | ST segment elevation Acute coronary syndrome Prognosis |
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