冠心病心电图特征与冠脉病变程度关系的研究  

Electrocardiogram Characteristics of Patients with Coronary Heart Disease

作　　者：杨曙艳[1] 

机构地区：[1]河南省胸科医院,郑州市450003

出　　处：《医药论坛杂志》2008年第8期16-17,20,共3页Journal of Medical Forum

摘　　要：目的探讨冠心病患者心电图特征与冠脉病变的关系。方法分析186例静息心电图正常冠心痛患者的临床资料与冠脉病变情况,并与同期230例静息心电图异常冠心病患者相比较。结果与静息心电图异常冠心病患者相比,静息心电图正常冠心病患者以单支病变多见[51.6%(96/186)对36.7%(82/230),P=0.039],多血管病变较少[48.4%(90/186)对64.3%(148/230),P=0.042],平均冠脉病变支数较少(1.67±0.80vs1.95±0.85,P=0.006),Gensini积分低(38.1±30.78vs54.44±38.79,P<0.001)。在96例单支病变中,以前降支病变多见[65.6%(63/96)];在90例多血管病变中,有65例(72.2%)心肌缺血部位与血管狭窄部位相一致。结论静息心电图正常冠心病患者以单支血管病变多见;静息心电图正常的冠心病患者多为多血管病变,且心肌缺血部位与血管狭窄部位相一致。Objective To investigate electrocardiogram characteristics of the patients with coronary heart disease （CHD）. Methods Total 186 patients with CHD and normal resting electrocardiogram and 230 patients with abnormal resting electrocardiogram were studied t）y case control method. Their clinical data and coronary angiogram were analyzed. Results Compared with the patients with CHD anti abnormal resting electrocardiogram, more single vessel disease[ 51.6% （96/186） vs 36.7% （ 82/230 ） , P = 0. 0391 , less muhiple - vessel disease [ 48.4% （90/186） vs 64.3 % （ 148/230 ） , P = 0. 042 ] were found in the patients with CHD and normal resting electrocardiogram, whose Gensini scoring was significantly lowered [ （38.1 ±30.78） vs （54.44 ±38.79） , P 〈0. 001 ]. For those patients with single - vessel diseases,lesions are predominantly found in left anterior descending coronary artery （65.6%, 63/96 ）. Those patients with ahnormal resting ECG HAD muhiple - vessel diseases （72.2% ,65/90）. Conclusion For the patients with CHD and normal resting electrocardiogram,the majority has single vessel disease, and their coronary lesions are less severe. For the patients with abnormal resting ECG,more lesions are found.

关 键 词：冠状动脉疾病 心电图冠状血管造影 

分 类 号：R540.41[医药卫生—心血管疾病]