河北医学2016，Vol.22Issue(12)：1954-1956,3.DOI:10.3969/j.issn.1006-6233.2016.12.007
急性非ST段抬高型心肌梗死心电图与冠状动脉造影结果对比研究
Comparison of the Electrocardiogram and Coronary Arteriogram of Acute Non ST-segment Elevation Myocardial Infarction
摘要
Abstract
Objective:To analyze the relationship between the electrocardiogram ( ECG) and coronary arteriogram in patients with acute non ST-segment elevation myocardial infarction ( NSTEMI) , and to provide theoretic foundations for clinicians to predict the outcomes. Methods: The data of ECG and coronary arterio-grams of 83 NSTEMI patients treated between December 2010 and December 2014 were retrospectively ana-lyzed. The patients were divided into depression group (64 patients) and depression-free group (20 patients) according to the presence or absence of ST segment depression of the precordial leads. Results:A total of 189 vessels diseased were found in 83 patients, among which, 81 vessels ( 42. 86%) were proximal, 72 vessels (38.10%) were in the middle, and 36 vessels (19.04%) were distal. A total of 66 vessels (34.92%) had 50% -74%stenosis, a total of 42 vessels (22.22%) had 75% -90%stenosis, and a total of 81 vessels (42. 86%) had >90% stenosis. A total of 21 patients had single vessels involved, 25 patients had two vessels in-volved, and 37 patients had multiple vessels involved. The NSTEMI patients of the two groups had similar numbers of vessels disease of the proximal, middle, and distal segments, and the differences were statistically insignificant ( P>0.05) . The NSTEMI patients of the depression group had significantly severer angiostegnosis and greater number of multiple vessels diseased than the depression-free group, and the differences were sta-tistically significant ( P<0.05) . Conclusion:ST segment depression as manifested by ECG of precordial leads in NSTEMI patients suggests severer coronary stenosis and greater number of multiple vessels diseased than the depression-free group, which has important significances to judge the pathogenetic conditions of the patients.关键词
急性非ST段抬高型心肌梗死/冠状动脉造影/心电图Key words
Acute non ST-segment elevation myocardial infarction/Coronary arteriogram/Elec-trocardiogram引用本文复制引用
康忠俊,张胜,陈宇..急性非ST段抬高型心肌梗死心电图与冠状动脉造影结果对比研究[J].河北医学,2016,22(12):1954-1956,3.基金项目
四川省资阳市科技支撑计划,(编号:2015016) （编号:2015016）
