女性心电图T波低平或浅倒置的临床意义  

Significance of global T-wave low or inversion in women

作　　者：郑秋甫[1] 冯金强 郑延松[3] 段留法[4] 

机构地区：[1]解放军总医院专家组,北京100853 [2]北京中兴医院一病区,北京100039 [3]解放军总医院南楼临床部,北京100853 [4]解放军总医院南楼临床部心血管二科,北京100853

出　　处：《中华保健医学杂志》2008年第3期168-170,共3页Chinese Journal of Health Care and Medicine

摘　　要：目的探讨女性心电图12导联T波普遍低平或浅倒置的临床意义。方法46例女性,年龄45～70岁,平均58.79±6.23岁,临床有阵发胸痛或无任何症状,心电图示12导联T波普遍低平或浅倒置,行冠脉造影或冠脉CT+三维成像(MSCT),观察冠脉病变与T波改变之间的关系。结果46例女性中,冠脉造影或冠脉CT+三维成像显示有7例冠脉狭窄50%～75%,占15.2%,余39例冠脉未见明显异常,占84.8%。结论中老年女性心电图12导联T波普遍低平或浅倒置不宜轻易诊为冠心病。Objective To explore significance of global T-wave low or inversion in women. Methods Forty six women （age mean 58.79±6.23）with or without chest pain that they had global T-wave low or inversion on electrocardiogram and were performed b.y multislice computed tomography or coronary angiography for detecting atherosclerotic coronary plaques. Results There were 7 wom en （15.2%） showed significant stenosis （ ≥ 50% to75 % ） by coronary angiography or MSCT. Thirty -nine women （84.8%） had normal coronary angiogram. Conclusions Global T-wave low or inversion on electrocardiogram in middle-old-aged women do not hastily diagnosed coronary heart disease.

关 键 词：T波改变 女性 心电图 

分 类 号：R540.41[医药卫生—心血管疾病] R541[医药卫生—内科学]