溶栓疗法对急性期心肌梗死心室晚电位的影响  

Influence of thrombolysis on ventricular late potentials In acute myocardial Infarction

作　　者：彭晖[1] 黄捷英[1] 刘佩琛[1] 李虹伟[1] 

机构地区：[1]首都医科大学附属北京友谊医院心内科,100050

出　　处：《心电学杂志》1999年第4期195-198,共4页Journal of Electrocardiology(China)

摘　　要：为探讨溶栓对急性心肌梗死心室晚电位的影响,观察84例急性心肌梗死患者心室晚电位、室性心律失常及猝死的情况.结果溶栓组(n=47)与非溶栓组(n=37)心室晚电位阳性率分别为15%、35%,室性心律失常发生率分别为13%、32%,死亡率分别为2%、13%,差异均有显著意义(P<0.05).溶栓再通组(n=28)与未再通组(n=19)心室晚电位阳性率分别为7%、26%,室性心律失常发生率分别为4%、26%,差异均有显著意义(P<0.05).提示溶栓治疗能降低心肌梗死患者的心室晚电位附性率、室性心律失常发生率及死亡率.To teat influence of thrombolysis on ventricular late potentials in acute myocanlial infarction, we studied 84 patients with acute my-ocardial infarction. In 47 patients treated with thrombolysis, us compared with 37 patients treated conventionally, occurrences of venlres ular late potential(VIP)and ventricular arrhythmia(VA)and mortality rate were 15% vs.35%, 13% vs.32%, 2% vs.13% respectively (P < 0.05) .In comparison with nonreperfusion group(n = 19),occurrences of VLP and VA were less frequent in patients with reperfusion (n = 28), positive rates were 7% vs. 26% , 4% vs.26% respectively(p < 0.05) .Our data suggested that successful thrombolytic therapy was associated with a reduction in incidence of VLP, throm-bolytic therapy associated with late potentials denoted an excellent prognosis.

关 键 词：心肌梗死 AMI 心室晚电位 溶栓疗法 

分 类 号：R542.220.5[医药卫生—心血管疾病]