T_V1＞T_V6（或T_V5）综合征对冠心病的诊断价值  

The Value of Tv1>Tv6 Syndrome in Diagnosis ofCoronary Artery Disease

作　　者：钱秉源[1] 王奉德[1] 徐泽升 

机构地区：[1]北京安贞医院心电图室

出　　处：《临床心电学杂志》1994年第3期112-114,共3页Journal of Clinical Electrocardiology

摘　　要：本文回顾性地观察了４１０例冠状动脉造影的病人，对其中８１例Ｔｖ１＞Ｔｖ６（或Ｔｖ５）综合征者和１２６例无Ｔｖ１＞Ｔｖ６（或Ｔｖ５）综合征者的心电图和冠状动脉造影结果进行了对比分析。结果表明：两组病人的冠心病发病率无明显差异，Ｔｖ１＞Ｔｖ６（或Ｔｖ５）综合征对冠心病的诊断无重要价值。The electrocardiograms of 410 consecutive patients undergone coro-nary arteriography seen between October 1988 and August 1993 were analysed. The pa-tients, except myocardial infarction, W-P-W syndrome and ventricular hypertrophy inECG , were divided into four groups : Normal ECG with Tv1>Tv6 was found in 39 cases(group A1), Ischemic patter ST segment depression with Tv1>Tv6 was observed in 42cases (group A1), Normal ECG without Tv1>Tv6 was found in 60 cases (group B1), Ischemic patter ST segment depression without Tv1>Tv6 was observed in 66 cases(group B1).The result of coronary arteriography were compared in four groups. The incidenceof CAD (at least one major coronary artery norrowed by by≥50%) were 15. 4% (groupA1, n = 6/397), 59. 5% (group A1 , n=25/42), 20. 0% (group B1, n=12/60) and63. 6% (group B, n=42/66) , respectevely.The significant difference was found between the group A1 and A1, the group Band B, respectively. (P<0. 05). However, no significant difference was noted be-tween the group A1 and B1. (P>0. 05).This study indicated that the Tv1>Tv6 syndrome is useless criteion for detection ofCAD.

关 键 词：心电图 冠状动脉造影 冠心病 Tv-1〉Tv6综合征 

分 类 号：R541.404[医药卫生—心血管疾病]