急性心肌梗死心电图变化与冠脉造影结果的相关性  

Correlation between ECG Changes and Coronary Angiography of Acute Myocardial Infarction

作　　者：罗林萍[1] 刘明艳[1] 吴翔[1] 聂磊[2] 

机构地区：[1]内江市第一人民医院心电图室,四川内江641000 [2]新疆医科大学第一附属医院心内科,新疆乌鲁木齐830054

出　　处：《昆明医科大学学报》2017年第1期113-116,共4页Journal of Kunming Medical University

基　　金：新疆维吾尔自治区科技计划基金资助项目(Y121310012)

摘　　要：目的探讨急性心肌梗死心电图变化与冠脉造影结果的相关性.方法选择内江市第一人民医院临床诊断为AMI并行冠状造影检查的171例患者为研究对象,根据患者心电图特点,分为ST段抬高组和非ST段抬高组2组,对2组患者心电图与冠脉造影结果进行分析.结果与冠脉造影对比研究发现,ST段抬高组以LAD闭塞多见,管腔狭窄程度以完全闭塞为主,病变的冠状动脉以单支为主;而非ST段抬高组以LCX闭塞多见,管腔狭窄程度以中、重度狭窄为主,病变的管病以三支为主,2组比较,差异有统计学意义(P<0.01).但2组并发症发生率比较,差异无统计学意义(P>0.05).结论心电图中ST段的不同改变代表冠脉造影下管腔狭窄程度、闭塞血管及支数的不同,但都属于心血管急症,临床应予重视.Objective To study the correlation between the ECG changes and coronary angiography of acute myocardial infarction （AMI）. Methods A total of 171 patients diagnosed as AMI in The first people＇s Hospital of Neijiang City was selected. Based on patients＇ ECG characteristics, they were divided into ST-segment elevation group and non-ST-segment elevation group. Their ECG changes and coronary angiography were analyzed. Results Compared with the coronary angiography, occlusion and single branchpathologicaIIy c most ST-segment elevation group patients had LAD occlusion, total hanged; while most non-ST-segment occlusion, middle tosevere stenosis and three main tubes pathologically changed elevation group patients had LCX There were significant statistical differences （P〈0.01）. However, the incidence of complications in the two groups had no significant difference. Conclusion The different ECG ST segment changes reveal the different coronary lumen stenosis, occlusion of blood vessels and different count under coronary angiography, need to pay attention with. but all belong to cardiovascular emergencies, which

关 键 词：急性心肌梗死 心电图 冠脉造影 ST段抬高 

分 类 号：R473[医药卫生—护理学]