胸痛和ST-T改变对阵发性室上性心动过速患者冠心病的诊断意义(附92例报告)  

The Diagnostic Value of Chest Pain and/or ST-T Change on Coronary Heart Disease in Patients with Paroxysmal Supraventricular Tachycardia(Report of 92 cases)

作　　者：杜闻莹[1] 张善春[1] 郑刚[1] 

机构地区：[1]天津市第三医院,天津300250

出　　处：《哈尔滨医药》2010年第4期7-8,共2页Harbin Medical Journal

摘　　要：目的确定阵发性室上性心动过速(PSVT)发作时出现胸痛和(或)ST-T改变对冠心病(CHD)的诊断意义。方法对仅在PSVT发作时发生胸痛和(或)ST-T改变者行冠状动脉造影,收集其临床资料及冠状动脉造影结果进行分析。共入选92例患者,其中单纯胸痛患者32例,单纯ST-T改变者28例,既有胸痛又有显著ST段压低者32例。结果冠脉造影狭窄例数:单纯胸痛组3例;单纯ST-T改变组4例;胸痛合并ST段压低组12例。单纯胸痛组与单纯ST-T改变组CHD发生率相比无统计学意义,胸痛合并ST段压低组较其他两组有统计学意义,P<0.05。结论 PSVT发作时出现胸痛合并ST-T改变者在射频消融术前行冠状动脉造影有一定临床意义。Objective To ascertain the diagnostic value of coronary heart disease（CHD） in patients experience typical chest pain and（or） ST-T change on electrocardiograms during episodes of paroxysmal supraventricular tachycardia（PSVT）.Methods Patients with PSVT undergoing coronary angiographywere evaluated.In these patients,there are 32 patients suffering from chest pain without ST-T changement（Group 1）,28 patients having ST-T change without chest pain（Group 2）,and 32 patients both having chest pain and ST-T change at the same time（Group 3）.Results CHD was diagnosed in 3 patients in Group 1,4 patients in Group 2,and 12 patients in Group 3.The rate of CHD in the group 1 and group 2 have no statistical significance,the rate of CHD in group 3 has statistical significance,P〈0.05.Conclusion Performing coronary angiography in these patients who experience chest pain and ST-T changement before radiofrequency ablation is nessiisiral.

关 键 词：阵发室上性心动过速 胸痛 ST-T改变 冠心病 冠脉造影 

分 类 号：R541.4[医药卫生—心血管疾病]