高血压病患者心电图ST-T改变对冠心病的临床诊断意义  

Clinical significance of ST-T changes in electrocardiogram to diagnose coronary heart disease in hypertensive patients

作　　者：杜金英 刘大勇 张海鹰 

机构地区：[1]解放军第一八七中心医院特诊科,海南海口571159 [2]解放军第一八七中心医院心内科,海南海口571159

出　　处：《实用临床医药杂志》2014年第5期106-107,110,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11321669)

摘　　要：目的探讨高血压病患者心电图ST-T改变对冠心病的临床诊断意义。方法选取本院收治的112例高血压且伴胸痛的患者,根据ST-T变化情况,将其分为ST-T动态变化组和ST-T无动态变化组。对2组患者均进行心电图监测及冠状动脉造影术,并分析冠状动脉造影术结果与ST-T变化的关系。结果 ST-T动态变化组中冠状动脉阳性者36例(32.1%),阴性者10例(8.9%),而ST-T无动态变化组中冠状动脉阳性者18例(16.1%),阴性者48例(42.9%)。ST-T动态变化组中冠状动脉阳性率明显高于ST-T无动态变化组,差异有统计学意义。结论高血压病患者心电图ST-T改变与冠心病诊断具有一定相关性,可作为早期诊断冠心病的参考依据之一。Objective To study the clinical significance of ST-T changes in electrocardiogram to diagnose coronary heart disease in hypertensive patients. Methods One hundred and twelve patients with hypertension accompanied by chest pain in our hospital were divided into ST-T group with dynamic changes with 46 patients and ST-T group without dynamic changes with 66 patients according to ST-T changes. All patients were given electrocardiogram monitoring and coronary angiography, and the relationship between the results of coronary angiography and ST-T dynamic changes was analyzed in both groups. Results There were 36 patients （32.1% ） of positive coronary artery and 10 patients （8.9%） of negative coronary artery in ST-T group with dynamic changes, whereas there were 18 patients （16.1% ） of positive coronary artery and 48 patients （42. 9 % ） of negative coronary artery in ST-T group without dynamic changes. The positive rate of coro- nary artery was evidently higher in ST-T group with dynamic changes than that in ST-T group without dynamic changes, and the difference was statistical significant. Conclusion ST-T dynamic changes in electrocardiogram of hypertensive patients has a certain correlation with the diagnosis of coronary heart disease, which can be considered as one of the references to diagnose the coronary heart disease.

关 键 词：心电图 ST-T改变 高血压 冠心病 

分 类 号：R544.1[医药卫生—心血管疾病]