| P波离散度与急性心肌梗死并发阵发性心房颤动的关系 |
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| 引用本文： | 周茁惠,朱小英,朱明娇. P波离散度与急性心肌梗死并发阵发性心房颤动的关系[J]. 皖南医学院学报, 2005, 24(3): 205-206 |
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| 作者姓名： | 周茁惠 朱小英 朱明娇 |
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| 作者单位： | 惠州中心医院,功能科,广东,惠州,516001 |
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| 摘 要： | 目的 探讨P波离散度(Pd)与急性心肌梗死并发心房颤动的关系。方法 观察2 5例急性心肌梗死并发阵发性心房颤动患者和2 0例单纯急性心肌梗死患者的Pmax、Pd。结果 两组Pmax (12 4 .32±3.5 8、110 .77±2 .6 2 )ms、Pd(45 .75±2 .76、2 9.0 8±3.87)ms差异均有非常显著性意义(P <0 .0 1) ;Pmax≥12 0ms和Pd≥4 0ms预测心房颤动的灵敏度分别为84 .0 %和88.0 % ,特异度分别为85 .0 %和90 .0 %。结论 Pmax延长和Pd增加可预测急性心肌梗死并发心房颤动的危险性。
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| 关 键 词： | 急性心肌梗死 阵发性心房颤动 P波离散度 |
| 文章编号： | 1002-0217(2005)03-0205-02 |
| 收稿时间： | 2005-02-01 |
| 修稿时间： | 2005-02-01 |
Relationship between P wave dispersion and acute myocardial infarction with paroxysm atrial fibrillation |
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| ZHOU Zhuo-hui,ZHU Xiao-ying,ZHU Ming-jiao. Relationship between P wave dispersion and acute myocardial infarction with paroxysm atrial fibrillation[J]. Acta Academiae Medicinae Wannan, 2005, 24(3): 205-206 |
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| Authors: | ZHOU Zhuo-hui ZHU Xiao-ying ZHU Ming-jiao |
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| Abstract: | Objective To understand relationship between P wave dispersion and acute myocardial infarction with paroxysm atrial fibrillation. Methods 25 cases of acute myocardial infarction patients with paroxysm atrial fibrillation were observed for Pmax or Pd and 20 cases were compared as control group. Results The Pmax (124.32±3.58 vs110.77±2.62 ms) and Pd(45.75±2.76、29.08±3.87ms) had significant difference between the two groups. The sensitivity in the former reached a higher percentage of 84.0% and 88.0% and specificity, 85.0% and 90.0% respectively. Conclusion A prolonged Pmax and increased Pd may indicate the risk of acute myocardial infarction with paroxysm atrial fibrillation. |
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| Keywords: | acute myocardial infarction paroxysm atrial fibrillation P wave dispersion |
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