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急性心肌梗塞早期QT离散度变化及其临床意义
引用本文:张兆欐. 急性心肌梗塞早期QT离散度变化及其临床意义[J]. 菏泽医学专科学校学报, 1999, 11(4): 32-33
作者姓名:张兆欐
作者单位:菏泽地区人民医院274031
摘    要:目的 探讨急性心肌梗塞早期QT离散度的变化与室性。律失常的关系,方法分析60例冠脉正常和58例急性心肌梗塞12导联心电图QTcd。结果急性心梗病人最大QT间期和最大QTC间期与正常对照组差异无显性,而QTd和QTcd明显大于对照组。急性心机梗塞发生室性。律失常的病人明显大于未发生心律失常的病人。结论急性心肌梗塞早期QT离散度增加对预测室性心律失常有一定价值。

关 键 词:QT离散度 心电图描记 急性心肌梗塞/诊断 室性心律失常/诊断

Changes of QTc Dispersion in Acute Myocardial Infarction and Their Clinical Significance
Zhang Zhaoli. Changes of QTc Dispersion in Acute Myocardial Infarction and Their Clinical Significance[J]. Journal of Heze Medical College, 1999, 11(4): 32-33
Authors:Zhang Zhaoli
Abstract:Objective To study the relation of QTc dispersion( QTcd) in acute myocardial infarction (AMI) and Ventricular arrhythmias. Methods QTcd on 12-lead ECG in 58 patients with AMI were measured and comparing with 60 normal ones in the control group. Results The differences of QTmax and QTcmax in AMI were not more obvious than those of the control group,but QTd and QTcd were longer in AMI than those of the control group. QTc and QTcd with Ventricular arrhythmias (VA) in AMI were increased more than those without VA. Conclusion The length of QTd and QTcd in AMI can predict the presence of VA in some sense.
Keywords:QTc dicpersion  electrocardiogram  acute myocardial infarction/diagnosis  Ventricular arrhythmias/diagnosis
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