窦性心率震荡结合室性早搏在AMI患者远期预后中的价值  

The Value of Heart Rate Turbulence and Premature Ventricular Contractions in Long-term Prognosis of AMI Patients

作　　者：刘玉琼[1] 罗义[1] 何宇亮[1] 刘秀丹[1] 

机构地区：[1]广州医学院附属广州市第一人民医院功能科心电图室,广东广州510180

出　　处：《临床医学工程》2010年第4期26-28,共3页Clinical Medicine & Engineering

摘　　要：目的探讨AMI患者行PCI术后,窦性心率震荡与室性早搏在其远期预后中的价值。方法67例在住院期间发生室性心律失常的AMI患者,按随访结果分死亡组和生存组。比较室早宽度、切迹数、窦性心率震荡TO、TS;并作多变量Logistic回归分析。结果生存组与死亡组的室早宽度、切迹数、TS比较有显著差异性(P<0.01);TO无显著差异(P>0.05);室早切迹数和TS与远期死亡有相关性(OR=4.641[1.376,15.653],P<0.05;OR=0.111[0.022,0.552],P<0.01)。结论HRT参数TS值与室早切迹数在急性心肌梗死患者的远期预后中有重要价值。Objective To investigate the value of heart rate turbulence and premature ventricular contractions in long-term prognosis of AMI patients after PCI. Methods 67 AMI patients who had ventricular arrhythmias during their hospitalization were divided into death group and survival group by the follow-up results. Premature ventricular width and notches, TO, TS were compared. A stepwise Logistic re- gression analysis was used to explore prognosis and various risk factors. Results There were significant differences in premature ventricular width, notches and TS （P〈0.01） between survival group and death group. And there was no significant difference in TO （P〉0.05）. Logistic regression analysis showed that premature ventricular notchs and TS were correlated with long-term decease （OR=4.641 [1.376, 15.653], P 〈0.05; OR=0.111 [0.022, 0.552], P 〈0.01）. Conclusion The premature ventricular notchs and TS have significant value in the long-term prognosis of patients with AMI.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 窦性心率震荡 室性早搏 远期预后 

分 类 号：R541.7[医药卫生—心血管疾病]