急性心肌梗死造影后心电图诊断分析结果研究

目的:分析STⅢ↑/STⅡ↑≥1及STV3R-V6R↑≥1mm对急性心肌梗死(AMI)的诊断结果.方法:选取2010年1月～2011年6月来我院进行治疗的128例急性心肌梗死患者的冠状动脉造影结果与心电图的变化进行对比分析,以研究心电图对心肌梗死(据患者病情,主要是右室心肌梗死ARVI)的诊断价值体现.结果:对照组76例,其中心电图STV3R-V6R↑≥1mm2例,STⅢ↑/STⅡ↑≥1的4例;ARVI组52例患者,其中心电图STV3R-V6R↑≥1mm50例,STⅢ↑/STⅡ↑≥1的48例.两组患者比较差异有显著性意义,在STⅢ↑/STⅡ↑≥1及STV3R-V6R↑≥1mm指尖差异无显著性意义.结论:诊断右心室心肌梗死的主要依据是STV3R-V6R↑≥1mm,参考依据则可选择STⅢ↑/STⅡ↑≥1.

The Analysis Results and the Research of Acute Myocardial Infarction after Imaging Electrocardiogram

Objective:To analyse the STⅢ ↑/STⅡ↑ quartile 1 and STV3R-V6R ↑ 1mm quartile of acute myocardial infarction(AMI) diagnosis.Methods:Selected from January 2010 to June 2011 to our hospital for treatment of 128 cases of acute myocardial infarction patients with coronary artery angiography results and the light of ecg changes analysis in research of ecg myocardial infarction(according to the symptoms in patients,mainly was the right ventricular myocardial infarction ARVI) diagnosis value.Results:Among the 76 cases,electrocardiogram STV3RV6R ↑ 1mm quartile of two cases,ST Ⅲ↑/STⅡ ↑ quartile 1 in 4;ARVI group of 52 patients which STV3R-V6R ↑ electrocardiogram quartile 1mm 50 example,ST Ⅲ ↑/STⅡ↑ quartile 1 48 cases.Two groups of patients were compared with a significant difference,in STⅢ↑/ ST Ⅱ↑ quartile 1 and STV3R-V6R↑ 1mm difference had no quartile fingertips significance.Conclusion:Diagnosis right ventricular myocardial infarction was the main basis STV3R-V6R ↑ quartile 1mm,reference may choose ST Ⅲ↑/ST Ⅱ↑≥1.