精准医学杂志2024，Vol.39Issue(1)：78-80,87,4.DOI:10.13362/j.jpmed.202401020
心电图U波倒置联合碎裂QRS波预测急性冠脉综合征患者PCI后预后的价值
Predictive value of U-wave inversion combined with fragmented QRS on electrocardiogram for prog-nosis of patients with acute coronary syndrome after percutaneous coronary intervention
摘要
Abstract
Objective To investigate the value of U-wave inversion combined with fragmented QRS(fQRS)on electro-cardiogram in predicting the prognosis after percutaneous coronary intervention(PCI)in patients with acute coronary syndrome(ACS).Methods A total of 123 patients with ACS admitted to The Third People's Hospital of Henan Province from October 2017 to September 2019 were included.All the patients underwent PCI after electrocardiogram examination,followed by 3 months follow-up.The percentages of U-wave inversion,fQRS,and a poor prognosis were analyzed to determine the predictive value of U-wave inversion combined with fQRS for post-PCI outcome in patients with ACS.Results Among the 123 patients with ACS,the percentages of U-wave inversion,fQRS,and a poor prognosis were 39.84%,33.33%,and 23.58%,respectively.The patients with a poor outcome showed significantly higher percentages of U-wave inversion and fQRS than those with a good outcome(χ2= 20.547,26.080,P＜0.05).U-wave inversion plus fQRS showed significantly higher specificity,accuracy,and area under the curve in predicting a poor prognosis following PCI in patients with ACS,as compared with U-wave inversion and fQRS alone(χ2= 3.291-11.132,Z=3.543,4.861,P＜0.05).Conclusion Patients with ACS have a high risk of a poor prognosis after PCI,which could be well predicted using U-wave inversion in combination with fQRS.关键词
心电描记术/急性冠状动脉综合征/U波倒置/碎裂QRS波/经皮冠状动脉介入治疗/预后Key words
Electrocardiography/Acute coronary syndrome/U-wave inversion/Fragmented QRS complexes/Percuta-neous coronary intervention/Prognosis分类
医药卫生引用本文复制引用
李晓燕,汪洋,吴宝丽,姬劲锐..心电图U波倒置联合碎裂QRS波预测急性冠脉综合征患者PCI后预后的价值[J].精准医学杂志,2024,39(1):78-80,87,4.基金项目
河南省医学科技攻关计划联合共建项目(LHGJ-20191068) （LHGJ-20191068）
