急性心肌梗死后心电图QRS碎裂与患者预后关系的研究  

The Relationship of Fragmented QRS Complex after Acute Myocardial Infarction and the Prognosis

作　　者：王崑[1] 郑刚[1] 王静[1] 张善春[1] 

机构地区：[1]天津市第三医院心内科,天津300250

出　　处：《中国医药导刊》2008年第3期336-337,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:研究急性心肌梗死(AMI)后3天内心电图出现QRS碎裂(fQRS)与心功能、并发症和近期预后的相关性。方法:选取100例AMI患者观察入院3天内心电图,根据心电图QRS波群有无fQRS,分为fQRS组和无fQRS组,观察2组患者心功能,心源性死亡率和严重并发症发生率。结果:fQRS的发生率为44%,fQRS组心功能不全、严重并发症发生率均高于无fQRS组(P<0.01),心源性死亡发生率fQRS组也高于非fQRS组(P<0.05)。结论:AMI后出现fQRS患者并发症严重、心功能差、死亡率高,提示预后不良。Objective：To study the relationship of fragmented QRS complex （fQRS） in the first 3 days after acute myocardial infarction, heart function,comphcations and the prognosis in the near future.. Methods： 100 patients with acute myocardial infarction were allocated to fQRS group and non - fQRS group by electrocardiogram examined in the first 3 days during hospitalization. Heart function, cardiogenic mortality and the rate of severe complications in the two groups were measured. Results： 44% of the patients presented fQRS on the electrocardiogram, In fQRS group, heart dysfunction and the rate of severe complications were significantly higher（ P 〈 0. 01 ）, and the total cardiogenie mortality was also higher than those in non - fQRS group（ P 〈0. 05）. Conclusion： It was bad prognosis, such as severe complications, more heart dysfunction and high mortality, that fQRS present in electrocardiogram after acute myocardial infarction.

关 键 词：心肌梗死 心电图 心脏功能 

分 类 号：R542.22[医药卫生—心血管疾病]