急性心肌梗死患者窦性心律震荡现象的临床分析  

Clinical Manifestation of Heart Rate Turbulence in Patients with Acute Myocardial Infarction

作　　者：田海萍[1] 张世新[1] 

机构地区：[1]内蒙古医科大学附属医院CCU,内蒙古呼和浩特010050

出　　处：《内蒙古医学杂志》2013年第2期139-141,共3页Inner Mongolia Medical Journal

基　　金：内蒙古科技攻关项目;项目编号:20070501

摘　　要：目的:探讨窦性心律震荡对冠心病急性心肌梗死高危患者心血管意外事件的预测价值。方法:选取67例急性心肌梗死并发室性心律失常患者,行动态心电检测以及冠状动脉造影检查。同时入组30例健康体检并功能性室性早搏患者作为对照。结果:①急性心肌梗死组TO值为(-0.37±2.53),高于正常组(-1.05±0.75);TS值心肌梗死组为(2.06±2.14),低于正常对照组(6.10±2.53);组间差异具有统计学意义(P<0.05)。②冠状动脉病变越重的患者中窦性心律震荡减弱或者消失的比例越大。结论:窦性心律震荡对冠心病急性心肌梗死高危患者心血管意外事件的发生有预测价值。Objective： Discuss Heart rate turbulence to coronary heart disease patients with acute myocardial or infarction in high risk of cardiovascular accident prediction value. Methods： Select 67 cases of acute myocardial in- farction patients with ventricular arrhythmia, H01ter and coronary artery angiography. At the same time into the group of 30 cases of healthy check - up and function in patients with ventricular premature as control, llesults： ① Acute myocardial infarction group TO is（ - 0.37 ± 2.53） ;The normal group is （ - 1.05 ±0.75） ;TS of myocardial infarction group is（2.06 ± 2.14）;Normal control group is（6.10 ± 2.53）. A statistically significant difference between groups（P 〈 0.05）. ②Coronary artery lesions of the heavier sinus rhythm in patients with shock or weakened the disappearance of the proportion. Conclusion： Heart rate turbulence to coronary heart disease with acute myocardial infarction in patients with high risk of cardiovascular accident occurs with predictive value.

关 键 词：心肌梗死 窦性心律 冠心病 心律震荡 

分 类 号：R542.22[医药卫生—心血管疾病]