aVR导联ST段抬高对急性前壁心肌梗死的预后价值研究  

The Value of ST Segmentelevation of aVR Lead in the Prognosis to Acute Anteriormyocardial Infarction

作　　者：文雯[1] 王雁[1] 范玉欢[1] 陈秋[1] 

机构地区：[1]河南省郑州市中心医院,450007

出　　处：《实用心脑肺血管病杂志》2011年第11期1850-1851,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨aVR导联ST段抬高对急性前壁心肌梗死患者的预后价值。方法根据心电图aVR导联ST段变化将84例急性前壁心肌梗死患者分为ST段抬高组(A组,44例)及ST段无抬高组(B组,40例),对比分析两组患者的心电图和冠状动脉造影(CAG)及心血管事件发生率。结果 (1)梗死相关血管为左主干病变的A组9例(20.45%)与B组1例(2.50%),两组统计有显著性差异(P<0.05);(2)梗死相关血管为三支病变的A组27例(61.36%)与B组10例(25.00%),两组统计有显著性差异(P<0.05);(3)发生心血管事件的A组10例(22.73%)与B组3例(7.50%),两组统计有显著性差异(P<0.05)。结论 aVR导联ST段抬高对急性前壁心肌梗死患者预后有重要预测价值,应高度重视。Objective To investigate the value of ST segmentelevation of aVR lead in the prognosis to acute anteriormyocardial infarction.Methods We comparatively analyzed electrocardiogram and clinical angiography in 84 patients with anterior wall acute myocardial infarction and divide them into elevation group and no elevation group according to the ST segment changes of aVR Lead.Results（1）There was significant difference in the patients whose infarct-related vessel was left main coronary artery between the elevation group（9 cases,20.45%） and no elevation group（1 case,2.50%）（P0.05）.（2）The patients whose infarct-related vessel was triple vessel lesion in elevation group（27 cases,61.36%） were significantly more than that of no elevation group（10 cases,25.00%）（P0.05）.（3）The cases with heart incident in elevation group（10 cases,22.73%） were significantly more than that of no elevation group（3 cases,7.50%）（P0.05）.Conclusion ST segment elevation in aVR lead are indicators of predicting the prognosis of acute anteriormyocardial infarction.

关 键 词：AVR导联 ST段抬高 急性前壁心肌梗死 

分 类 号：R541.4[医药卫生—心血管疾病]