中国全科医学2011，Vol.14Issue(11)：1202-1204,3.
急性脑梗死患者心电图改变及其对预后的临床意义研究
Frequency and Prognostic Significance of Electrocardiographic Changes in Patients with Acute Ischemic Stroke
李路军 1曹江晨 2曹宏兵 3周红霞 3杨善进 3范利娟3
作者信息
- 1. 214063,江苏省无锡市,南京军区联勤部无锡干休所
- 2. 中国人民解放军73801部队门诊部
- 3. 中国人民解放军第359医院内科
- 折叠
摘要
Abstract
Objective To investigates the frequency and prognostic significance of electrocardiographic ( ECG ) changes in patients with ischemic stroke but without primary heart disease. Methods Totally 168 patients ( 95 men; aged 64. 1 ± 13. 9 years ) with acute stroke were observed for ECG changes during their stay in hospital and their clinical information were obtained during the 4 - week follow - up. Results Of these 168 patients, 109 ( 64. 9％ ) experienced ECG changes, which were most commonly associated with myocardial ischemia, including depressed/elevated ST segment and abnormal T/U waves. The one - month mortality rate in the patients with ECG changes was 19. 0％ . Univariate analysis showed age, ST - segment, and ahnormal U wave independent predictors of early mortality , and multivariate analysis showed an age ＞ 65 years and the presence of ST - segment change were independent predictors. Conclusion ECG changes are common in patients with ischemic stroke ,even though they may have no previous history of ECG abnormality. An age ＞ 65 years and the presence of ST - segment change were independent predictors of early mortality. ECG changes are highly predictive for the prognosis.关键词
脑梗死/心电描记术/预后分类
医药卫生引用本文复制引用
李路军,曹江晨,曹宏兵,周红霞,杨善进,范利娟..急性脑梗死患者心电图改变及其对预后的临床意义研究[J].中国全科医学,2011,14(11):1202-1204,3.
