血运重建对Wellens综合征患者自主神经功能的影响  

Impact of Revascularization on Autonomic Nervous Function of Patients with Wellens' Syndrome

作　　者：吴悠扬[1] 姜文兵[1] 陈皓[1] 林伟[1] 王毅[1] 张建华[1] 

机构地区：[1]温州医科大学温州市第三临床学院心血管内科,325000

出　　处：《心脑血管病防治》2015年第6期455-456,467,共3页CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT

摘　　要：目的探讨经皮冠状动脉介入治疗对Wellens综合征患者的窦性心率震荡(heart rate turbulence,HRT)的影响。方法选取Wellens综合征患者59例为Wellens综合征组,心电图有类似心肌缺血的改变但经冠状动脉造影排除冠状动脉狭窄病变患者64例作为对照组,记录患者基本资料,分别于术前、术后1天行24h动态心电图监测,计算震荡初始(TO)、震荡斜率(TS)、震荡斜率时间(TT)。结果 Wellens综合征组TO及TT显著高于对照组,TS显著小于对照组,差异均有统计学意义(P<0.05)。与血运重建术前比较,Wellens综合征组术后1天TO、TS和TT均较术前改善,差异均有统计学意义(P<0.05)。结论血运重建能够改善Wellens综合征患者的心脏自主神经功能。Objective To investigate the impact of PCI on heart rate turbulence index of patients with Wellens＇ syndrome. Methods 59 patients with Welleus＇ syndrome were selected as Wellens＇ syndrome group. 64 were selected as control groupwhich with electrocar- diogram similar to ECG changes while pereutaneous coronary angiography excluding coronary artery disease. Basic Information of pa- tients were recorded, ambulatory ECG monitoring was taken one day before and after PCI, and turbulence onset （TO）, turbulence slope （TS）, turbulence slope time（TT）were calculated . Results The TO and ＂IT in the Wellens＇ syndrome group were significantly higher than control group （ P 〈 0.05）, TS was significantly smaller than control group （ P 〈 0.05）. Compared with what before revascularization, the TO, TS and TT were improved in the first day after PCI of Wellens＇ syndrome group （ P 〈 0.05）. Conclusions Revascularization can improve cardiac autonomic nervous function of the patients with Wellens＇ syndrome.

关 键 词：WELLENS综合征 窦性心率震荡 自主神经功能 

分 类 号：R541[医药卫生—心血管疾病]