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复极异常心电图表现对冠心病的诊断及预后价值

苏冠丽 刘刚 郑明奇 李斌

实用心电学杂志Issue(4):261-266,6.
实用心电学杂志Issue(4):261-266,6.

复极异常心电图表现对冠心病的诊断及预后价值

Clinical values of repolarization abnormal ECG manifestations for diagnosis and prognosis of coronary heart disease

苏冠丽 1刘刚 2郑明奇 2李斌1

作者信息

  • 1. 050031 河北 石家庄,河北医科大学第一医院急诊科
  • 2. 050031 河北 石家庄,河北医科大学第一医院心血管内科
  • 折叠

摘要

Abstract

As a practical tool,electrocardiogram(ECG)is widely applied in the diagnosis and prognosis evaluation of coronary heart disease,especially ECG with abnormal myocardial repolariza-tion.The repolarization abnormalities mainly manifest in the changes of ST segments,T waves,and QT durations.This paper discusses ST segment,T wave,and QT duration in details,and summari-zes those indices’clinical values for the diagnosis and prognosis evaluation of coronary heart disease, with the boundedness also analysed.It points in the right direction for the clinical application of those indices.U wave has higher specificity in the diagnosis of ischemic heart disease,however it has been focused by relatively few clinical studies.In addition,T-wave electrical alternans and T peak-end interval(Tp-Te)are also indicators for myocardial repolarization.However,the two indi-ces were not referred in details in this paper since their application is rarely seen clinically and they mainly associate with malignant arrhythmia.

关键词

冠心病/复极异常/心电图/ST 段/QT 间期/T 波峰末间期

Key words

coronary heart disease/repolarization abnormalities/electrocardiogram/ST seg-ment/QT duration/Tpeak-Tend interval

分类

医药卫生

引用本文复制引用

苏冠丽,刘刚,郑明奇,李斌..复极异常心电图表现对冠心病的诊断及预后价值[J].实用心电学杂志,2015,(4):261-266,6.

基金项目

河北省科技计划项目(13277720D);河北省重大医学科研课题资助项目 ()

实用心电学杂志

2095-9354

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