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心肌复极异常心电图对冠心病心衰的诊断价值和预后的关系

郭长苟

国际老年医学杂志2018,Vol.39Issue(2):70-72,3.
国际老年医学杂志2018,Vol.39Issue(2):70-72,3.DOI:10.3969/j.issn.1674-7593.2018.02.006

心肌复极异常心电图对冠心病心衰的诊断价值和预后的关系

Relationship between Myocardial Repolarization Electrocardiogram and the Prognosis of Coronary Heart Disease with Heart Failure

郭长苟1

作者信息

  • 1. 江苏省张家港市锦丰人民医院老年科, 张家港 215625 中国
  • 折叠

摘要

Abstract

Objective To investigate the relationship between myocardial repolarization electrocardiogram and the prognosis of coronary heart disease. Methods 98 Patients with coronary heart disease were selected from October in 2014 to October in 2016 in our hospital. They were divided into good prognosis group, poor prognosis group and the death group. Abnormal index of myocardial repolarization including number of ST segment of low lead, morphological variation of T wave ( TMD), QT interval ( QTc) and QT dispersion (QTd) were recorded. Nt-Pro BNP levels were detected and the prognosis was observed. Cox regression analysis was done. Results In poor prognosis group and death group number of ST segment of low lead, TMD, QTc and QTd were significantly higher than those in good prognosis group. Number of ST segment of low lead, TMD, QTc and QTd in the death group were signifi-cantly higher than those in poor prognosis group. Number of ST segment of low lead, TMD, QTc, QTd of all patients were positively correlated with NT-pro BNP levels (P<0.05). Age, BNP levels, number of ST segment of low lead, TMD, QTc and QTd were the risk factors of poor prognosis of coronary heart disease (CHD) with heart failure. Conclusion The assessment of abnormal myo-cardial repolarization parameters were useful in predicting prognosis for patients with CHD with heart failure.

关键词

复极异常/ 心电图/ 冠心病/ 心力衰竭

Key words

Repolarization abnormality/ Electrocardiogram/ Coronary heart disease/ Heart failure

引用本文复制引用

郭长苟..心肌复极异常心电图对冠心病心衰的诊断价值和预后的关系[J].国际老年医学杂志,2018,39(2):70-72,3.

国际老年医学杂志

OACSTPCD

1674-7593

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