摘要
Abstract
Objective To analyze the characteristics of electrocardiogram (ECG) in elderly patients with acute cerebral ischemic stroke (CIS) and ischemic ST-T change, and further analyze the relationship between ST-T dynamic changes and the severity of disease in elderly CIS patients. Methods 120 cases of elderly patients with acute CIS treated in our hospital from May 2016 to May 2018 were enrolled, and were divided into continuous ischemic ST-T change group (27 cases), transient ischemic ST-T change group (52 cases), and non-ischemic ST-T change group (41 cases). The ECG features were analyzed, the incidences of ECG abnormalities among three groups of patients were compared respectively, and finally the relationship between the incidences and the severity of disease, infarct size, and prognosis were analyzed. Results On admission, ECG examination of 79 patients manifested as ischemic ST-T change (65.83％), then 48 patients manifested as arrhythmia (40.00％), and patients were complicated by 1 or multiple ECG abnormalities. The differences of the severity of disease and features of ECG among three groups of patients were statistically significant (P<0.05), the infarct size was significantly different among 3 groups of patients (P<0.05), and the prognosis after 21-day treatment among 3 groups of patients were significantly different (P<0.05). Conclusion Ischemic ST-T change has the certain clinical reference value in diagnosing the severity of disease and prognosis among elderly patients with acute CIS, which can be used to guide the treatment.关键词
急性缺血性脑梗死/心电图改变/病情严重程度/预后Key words
Acute ischemic cerebral infarction/Electrocardiogram change/Severity of disease/Prognosis
