心电学技术及肌钙蛋白在评估急性心肌梗死患者梗死面积中的研究进展  

Research progress of electrocardiology technology and troponin in evaluating infarct area of acute myocardial infarction patients

作　　者：杨苏萍[1] 张琴[1] 覃晓波[1] 

机构地区：[1]广西壮族自治区人民医院心电诊断科,广西南宁530021

出　　处：《实用心电学杂志》2015年第5期371-373,380,共4页Journal of Practical Electrocardiology

基　　金：广西自然科学基金面上项目(2014GXNSFAA118274);广西医疗卫生适宜技术研究与开发项目(桂卫S201314-02)

摘　　要：急性心肌梗死是冠状动脉急性阻塞引起的心肌严重缺血和坏死,早期预测急性心肌梗死的梗死面积,对估计患者的病情和预后具有重要临床意义。心电图Selvester QRS记分法、QRS波终末变形可通过一份常规心电图获得,肌钙蛋白的测定亦简单易行,本文通过阐述三者在评估急性心肌梗死患者梗死面积中的研究进展,旨在为评估梗死面积寻找简单有效的方法。Acute myocardial infarction refers to severe myocardial ischemia and myocardial nec- rosis caused by acute coronary artery occlusion. It has important clinical significance of evaluating patient＇ s condition and prognosis to predict the infarct area of acute myocardial infarction in an early phase. Selvester QRS scoring method and QRS complex terminal part deformation can be acquired by a copy of rountine ECG. The determination of troponin is also simple and easy to carry out. This paper is aimed to discover a simple and effective method of evaluating infarct area by reviewing the latest research progress of the above three methods in assessing the infarct area in acute myocardial infarction patients.

关 键 词：梗死面积 Selvester QRS记分法 QRS波终末变形 肌钙蛋白 

分 类 号：R540.41[医药卫生—心血管疾病]