急性冠脉综合征者缺血性J波的临床研究  

Clinical Study in the Ischemic J-wave in Patients with Acute Coronary Syndrome

作　　者：张立君[1] 

机构地区：[1]山东省莱芜市人民医院,271100

出　　处：《实用心脑肺血管病杂志》2012年第2期255-256,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的研究伴有缺血性J波急性冠脉综合征(ACS)者的临床情况,评价缺血性J波的临床价值。方法回顾分析372例ACS患者的心电图及相关临床资料,根据心电图有无缺血性J波分为J波组、无J波组,比较两组临床情况、恶性心律失常发生率等。结果 J波组ST段抬高型心肌梗死(STEMI)的发生率明显高于无J波组,J波组恶性心律失常的发生率为25.8%,明显高于无J波组的4.2%,J波组终点事件的发生率明显高于无J波组,差异均有统计学意义(P<0.05)。结论 ACS伴有缺血性J波患者临床情况差,预后不良。Objective To analyze the clinical conditions of patients with acute coronary syndrome（ACS）,and evaluate the value of ischemic J-wave.Methods ECG and clinical data were analyzed retrospectively in 372 patients with acute coronary syndrome,and they were divided into J-wave group and non J-wave group on the basis of the presence or not of J-wave.Compared their clinical conditions and the incidence of malignant ventricular arrhythmic.Results The ischemic J-wave group had higher indices than the non J-wave group,as follows malignant ventricular arrhythmic,cardiac events.Conclusion ACS patients with ischemic J-wave show poor clinical conditions and bad prognosis.

关 键 词：急性冠脉综合征 缺血性J波 

分 类 号：R543.3[医药卫生—心血管疾病]