山东医药2012，Vol.52Issue(15)：15-16,2.
fQRS波预测陈旧性心肌梗死患者室性心律失常的价值
Value of fQRS in predicting ventricular arrhythmia of patients with old myocardial infarction
摘要
Abstract
Objective To investigate the predictive value of fQRS for ventricular arrhythmias occurrence in patients with old myocardial infarction (OMI). Methods Selected 235 patients with OMI for ECC examination, then divided them into pathologic Q waves group (Group A), OMI with fragmented QRS complex (fQRS) (Group B) , OMI with both pathological Q wave and fQRS (Group C), according to QRS ECG characteristics. Then all the cases were examined by dynamic ECG, and comparative analysis was made for the ventricular arrhythmias occurrence of three groups. Results Occurrence of ventricular arrhythmia in Group A, B and C was respectively 69. 1 % (47/68), 74.4% (90/121), and 71.7% (33/ 46), thus differences between three groups were not significant; occurrence of two or more ventricular arrhythmia was 20.6% (14/68), 40.5% (49/121), 43.5% (20/46), which in Group C and B were both significantly higher than that in group A (both P<0.05). The incidence of PVCs>720/ 24 h, grade 3 to 5 ventricular contraction as Lown classification in Group C and B were both significantly higher than those in Group A (P < 0.05); the incidence of polymorphic PVCs in Group A was significantly lower than that in Group B (P<0.05). Conclusions fQRS is closely related with ventricular arrhythmia occurrence ; fQRS is a predictive factor to independent cardiac events for OMI patients.关键词
陈旧性心肌梗死/碎裂QRS波/室性心律失常Key words
old myocardial infarction/ fragmented QRS wave/ ventricular arrhythmia分类
医药卫生引用本文复制引用
马淑英,吕金兰,张媛,振波,卜培莉,王乐信,马龙乐,李志平..fQRS波预测陈旧性心肌梗死患者室性心律失常的价值[J].山东医药,2012,52(15):15-16,2.基金项目
山东省医药卫生发展计划项目(2009HZ015). （2009HZ015）
