巴楚医学2025，Vol.8Issue(1)：43-48,6.DOI:10.3969/j.issn.2096-6113.2025.01.008
心电图及相关指标预测CPHD患者住院期间死亡的临床研究
Clinical Study on Predicting In-Hospital Mortality in CPHD Patients Using Electrocardiogram and Related Indicators
摘要
Abstract
Objective:To explore the independent risk factors for in-hospital mortality in patients with chronic pulmonary heart disease(CPHD).Methods:A total of 152 CPHD patients admitted to Yichang Central People's Hospital from October 2021 to April 2024 were collected and divided into death group(n=33)and survival group(n=119)according to whether the patients died during hospitalization.Clinical data of the two groups were collected,and univariate and multivariate logistic regression analysis was performed to analyze the independent influencing factors of in-hospital death of CPHD patients.Results:Multivariate logistic results showed that the angle of QRS-T was＞90°(OR=1.026,95％CI:1.006,1.047)and the interval of Tp-Te was＞100 ms(OR=1.075,95％CI:1.009,1.145),NT-proBNP＞300 pg/mL(OR=1.083,95％CI:1.010,1.146)and pulmonary artery systolic blood pressure＞35 mmHg(OR=1.085,95％CI:1.017,1.157)were risk factors for in-hospital death in CPHD patients(all P＜0.05).The area under the curve(AUC)of QRS-T Angle＞90°,Tp-Te interval＞100 ms,NT-proBNP＞300 pg/mL,pulmonary artery systolic blood pressure＞35 mmHg and the combined prediction of CPHD patients for in-hospital death were 0.871,0.844,0.901,0.864 and 0.941,respectively.Conclusion:QRS-T Angle＞90°,Tp-Te interval＞100 ms,NT-proBNP＞300 pg/mL,pulmonary artery systolic blood pressure＞35 mmHg are independent risk factors for in-hospital death in CPHD patients.关键词
QRS-T夹角/Tp-Te间期/慢性肺源性心脏病Key words
QRS-T Angle/Tp-Te interval/chronic pulmonary heart disease(CPHD)分类
临床医学引用本文复制引用
周天,向祖金,李颖..心电图及相关指标预测CPHD患者住院期间死亡的临床研究[J].巴楚医学,2025,8(1):43-48,6.基金项目
中央引导地方科技发展专项基金项目(2022BGE237) （2022BGE237）
宜昌市医疗卫生研究项目(A24-2-005) （A24-2-005）
