巴楚医学2025，Vol.8Issue(1)：54-58,5.DOI:10.3969/j.issn.2096-6113.2025.01.010
心电图相关指标在冠心病患者发生脑血管不良事件中的预测价值分析
Analysis of the Predictive Value of Electrocardiogram Related Indicators in the Occurrence of Cerebrovascular Adverse Events in Patients with Coronary Artery Disease
摘要
Abstract
Objective:To explore the independent influencing factors of cerebrovascular adverse events in patients with coronary artery disease(CAD).Methods:A retrospective analysis was conducted on 118 CAD patients who visited Yichang Central People's Hospital from January 2022 to March 2024.The patients were divided into an observation group with cerebrovascular adverse events(n=28)and a control group without cerebrovascular adverse events(n=90)based on whether they experienced cerebrovascular adverse events after a 6-month follow-up.Univariate and multivariate logistic regression analyses were used to identify the independent risk factors for cerebrovascular adverse events in CAD patients.Results:Electrocardiographic P-wave terminal force in lead V1(PTFV1)＞0.002 mm/s(OR=37.583,95％CI:11.801,119.696),increased intermedin(IMD)(OR=1.396,95％CI:1.190,1.637),decreased cardiovascular regulatory peptide salusin-α(OR=2.952,95％CI:1.235,7.057),and increased right atrial apical four-chamber short-axis diameter(OR=1.421,95％CI:1.225,1.648)were independent influencing factors for cerebrovascular adverse events in CAD patients(all P＜0.05).Receiver operating characteristic(ROC)curves were plotted,and the areas under the curve(AUC)for PTFV1＞0.002 mm/s,increased IMD,decreased salusin-α,and increased right atrial apical four-chamber short-axis diameter were 0.848,0.738,0.656,and 0.850,respectively.Conclusion:PTFV1＞0.002 mm/s,increased IMD,decreased salusin-α,and increased right atrial apical four-chamber short-axis diameter are independent risk factors for cerebrovascular adverse events in CAD patients.关键词
V1导联P波终末电势/脑血管不良事件/冠心病Key words
P-wave terminal force in lead V1(PTFV1)/cerebrovascular adverse events/coronary artery disease(CAD)分类
医药卫生引用本文复制引用
黄雅倩,向祖金,李颖..心电图相关指标在冠心病患者发生脑血管不良事件中的预测价值分析[J].巴楚医学,2025,8(1):54-58,5.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）
