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临终患者伴发QT间期缩短的心电图分析
引用本文:时志城,柳枫. 临终患者伴发QT间期缩短的心电图分析[J]. 临床心血管病杂志, 2012, 0(3): 183-185
作者姓名:时志城  柳枫
作者单位:安徽医科大学第四附属医院心电图室;中国医学科学院阜外心血管病医院心脏外科十三病区
摘    要:目的:探讨临终患者伴发QT间期缩短的心电图特征和临床意义。方法:常规测量10例临终患者的QT间期实测值(QT),通过QT间期换算公式计算QT间期预测值(QTp)、校正后QT间期值(QTc)以及QT/QTp比值。结果:10例临终患者心电图除出现各型传导阻滞、心室停搏等心电异常外,均伴随QT间期缩短(QTc<0.32~0.34s、QT/QTp<0.88)。结论:继发性QT间期缩短可能是出现于临终患者的一种罕见心电图表现,在一定程度上反映了心脏电活动衰竭,其预后不良,应引起临床高度重视。

关 键 词:QT间期缩短  心电图

Electrocardiogram analysis of short QT interval in dying patients
SHI Zhicheng,LIU Feng. Electrocardiogram analysis of short QT interval in dying patients[J]. Journal of Clinical Cardiology, 2012, 0(3): 183-185
Authors:SHI Zhicheng  LIU Feng
Affiliation:1Deparment of Electrocardiogram,the Fourth Affiliated Hospital of Anhui Medical University,Hefei,230022,China;2Department of Cardiac Surgery,Fuwai Cardiovascular Hospital,CAMS and PUMC)
Abstract:Objective:To explore electrocardiogram(ECG) features and clinical significance of short QT interval in dying patients. Method:QT intervals of 10 dying patients were measured.Predicted QT intervals(QTp),corrected QT intervals(QTc),and the ratio of QT and QTp(QT/QTp) were calculated by QT interval conversion formula. Result:Except different kinds of heart block and ventricular standstill,all patients had short QT intervals(QTc<0.32-0.34 s,QT/QTp<0.88). Conclusion:Secondary short QT interval may be likely an rare ECG phenomenon in dying patients,and reflect electrical activity failure of heart.
Keywords:shortened QT interval  electrocardiogram
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