实用心电与临床诊疗2025，Vol.34Issue(4)：517-522,6.DOI:10.13308/j.issn.2097-5716.2025.04.008
心电图碎裂QRS波联合心肌酶谱对急性ST段抬高型心肌梗死患者急诊经皮冠状动脉介入治疗的预后评估价值
Prognostic value of combined detection of electrocardiogram fragmented QRS complex and myocardial enzyme profile levels in patients with acute ST-segment elevation myocardial infarction undergoing emergency percutaneous coronary intervention
巩舒心 1朱明1
作者信息
- 1. 476000 河南商丘,商丘市第一人民医院功能科
- 折叠
摘要
Abstract
Objective To investigate the prognostic value of the combined detection of electrocardiogram(ECG)fragmented QRS complex(fQRS)and myocardial enzyme profile levels in patients with acute ST-segment elevation myocardial infarction(STEMI)undergoing emergency percutaneous coronary intervention(PCI)treatment.Methods Clinical data of 98 STEMI patients treated with emergency PCI were retrospectively analyzed.Myocardial enzyme profiles and 12-lead ECG examination results were collected.Patients were divided into a good-prognosis group(n=78)and a poor-prognosis group(n=20)based on the occurrence of major adverse cardiovascular events(MACEs)within 6 months postoperatively.Multivariate Logistic regression analysis was used to identify influencing factors for poor prognosis in STEMI patients after emergency PCI treatment.ROC curve analysis was applied to evaluate the predictive value of fQRS combined with CK-MB and cTn I levels for the prognosis of STEMI patients after emergency PCI.Results The incidence of MACEs was 20.41％(20/98)among 98 patients.The incidence of fQRS,and CK-MB and cTn I levels in the poor-prognosis group were all significantly higher than those in the good-prognosis group(all P＜0.05).Logistic regression analysis identified fQRS,and CK-MB and cTn I levels as risk factors for MACEs in STEMI patients after emergency PCI(all P＜0.05).ROC curve analysis revealed that the AUC value of any single indicator of fQRS,CK-MB level and cTn I level was all significantly lower than that of the combined detection in predicting the prognosis of STEMI patients after emergency PCI(all P＜0.05).Conclusion STEMI patients exhibit a high incidence of MACEs after PCI treatment.Both fQRS and myocardial enzyme profile levels can serve as reference indicators for prognosis assessment,with combined detection offering superior predictive value.关键词
急性ST段抬高型心肌梗死/经皮冠状动脉介入/碎裂QRS波/心肌酶谱/预后Key words
acute ST-segment elevation myocardial infarction/percutaneous coronary intervention/fragmented QRS complex/myocardial enzyme profile/prognosis分类
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巩舒心,朱明..心电图碎裂QRS波联合心肌酶谱对急性ST段抬高型心肌梗死患者急诊经皮冠状动脉介入治疗的预后评估价值[J].实用心电与临床诊疗,2025,34(4):517-522,6.
