倒置T波正常化与冠心病相关性的研究  

Relationship between the inverted T wave normalization and coronary heart disease

作　　者：高虹[1] 邹军[1] 杨旭丽[1] 万建平[1] 蒋子裕 杨伟烙 刘议蔓 陈楚雯[1] 谢结仪 

机构地区：[1]南方医科大学附属南海区人民医院,528200

出　　处：《临床心电学杂志》2013年第6期420-422,共3页Journal of Clinical Electrocardiology

摘　　要：目的探讨24小时内倒置T波出现正常化改变与冠心病相关性,为心肌缺血的诊断提供依据。方法回顾性分析140个病例,动态心电图检查76例有倒置T波正常化改变设为观察组,64例非倒置T波正常化改变设为对照组。分析比较两组患者的主要症状、主要诊断、部分患者冠状动脉造影检查结果。结果观察组:主要症状为胸闷、胸痛44例,临床诊断冠心病36例,其中冠状动脉造影25例,阳性24例。对照组:主要症状为心悸32例,临床诊断冠心病5例,其中冠状动脉造影检查5例,1例阳性(p<0.05)。结论 24小时动态心电图检查发现倒置T波正常化改变与冠心病显著相关,可以作为心肌缺血的一个诊断指标。Objective To observe the relationship of the inverted T wave normalization （TWN） during 24 hour Ambulatory electrocardiogram （Hoher） and coronary heart disease （CHD）. Methods A retrospective analysis of 140 cases were divided into the observation group （76 cases of patients with TWN）, the control group （64 cases of patients with non TWN）. The main symptoms, main diagnosis, and coronary angiography results of the two groups were analyzed. Results The diagnosis of coronary heart disease in the observed group were 36 cases, and 5 cases in the control group, there was statistically significant difference between the two groups. Conclusions There is significant correlation inverted T wave normalization and coronary heart disease, can be used as a diagnostic marker of myocardial ischemia.

关 键 词：T波正常化 冠心病 心肌缺血 

分 类 号：R541.4[医药卫生—心血管疾病]