冠心病左室节段功能障碍与心电图改变的关系  

Relationship between regional left ventricular dysfunction and electrocardiographic abnormality in coronary artery disease

作　　者：冯全洲 李元新 陆振刚[1,2] 

机构地区：[1]解放军153中心医院心内科 [2]第一军医大学南方医院

出　　处：《心功能杂志》1996年第2期69-72,共4页

摘　　要：作者对４４例冠心病患者进行左室电影造影节段功能测定，并与心电图的改变进行比较。结果：左室节段功能和心电图均异常，心肌梗塞组为１００％（２０／２０），心绞痛组为７９％（１９／２４），两组差异显著（Ｐ＜０．０５）；节段功能障碍和心电图异常对心脏受损定位的符合率为９４．９％（３７／３９）。结果表明：左室节段功能和心电图检查对冠心病心脏受损的定位诊断是可靠的；左室节段功能和心电图均异常。Regional left ventricular function(RLVF) was examined by means of left ventricular cineangiocardiography in 44 cases of coronary artery disease, and compared with the electrocardiogram(ECG) The results showed that the positive rate of both the RLVF and the ECG abnormality was 100%(20/20) in myocardial infarction group, 79%(19/24) in angina pectoris group; there was significant difference between the two groups(P<0 05) The coincidence rate between the RLVF and the ECG abnormality for location of cardiac lesion was 94 9%(37/39) It was concluded that RLVF and ECG were reliable for location diagnosis of cardiac lesion in coronary artery disease The abnormality of both the RLVF and the ECG suggests that cardiac ischemia resulted in definite myocardial lesion

关 键 词：冠心病 心室功能 节段节能 心电图 

分 类 号：R541.402[医药卫生—心血管疾病]