实用心电学杂志2016，Vol.25Issue(4)：233-239,7.DOI:10.13308/j.issn.2095-9354.2016.04.002
心电图 ST-T 改变对冠心病的诊断价值
Diagnostic value of ECG ST-T changes for coronary heart disease
摘要
Abstract
Objective To judge whether the diagnostic value of ST-T changes for coronary heart disease (CHD)is higher than other indices.Methods A total of 385 patients were enrolled in our study,who had been admitted in the department of Cardiology in our hospital and underwent coro-nary arteringraphy(CAG).The ST-T changes of their ECGs were recorded statistically by Minnesota code,and the relationship between CAG results and ECG changes was analyzed.In addition,the patients with positive CAG results were classified according to the severity of CHD,and the relation-ship between ST-T changes of ECG and the severity of CHD was evaluated.Results In all the 385 cases who had undergone CAG examination,there were 297 cases with positive results in whom 1 77 were observed positive ECG changes;there were 88 cases with negative results in whom 30 were ob-served positive ECG changes,and the difference was statistically significant(P <0.000 1 ).Among the patients with positive CAG results,97 cases were diagnosed with single vessel disease including 48 case with positive ECG results and 49 with negative ECG results;Two hundred cases were diag-nosed with multi-vessel coronary artery disease including 1 29 case with positive ECG results and 71 with negative ECG results,and the difference was statistically significant(P <0.05).Conclusion If we analyze ECG with the standard of ST-T changes by Minnesota code,ST-T changes will be found clinically valuable in diagnosing CHD.Among the patients who were diagnosed with CHD, ST-T changes prove to have diagnostic value for the ones with multi-vessel coronary artery disease.关键词
ST-T改变/冠心病/冠脉造影/明尼苏达编码Key words
ST-T changes/coronary heart disease/coronary arteriongraphy/Minnesota code分类
医药卫生引用本文复制引用
苏冠丽,韩彩莉,籍文强,刘刚..心电图 ST-T 改变对冠心病的诊断价值[J].实用心电学杂志,2016,25(4):233-239,7.基金项目
河北省医学科学科研课题资助项目（ZL20140141）；河北省科技计划项目 （）
