心电图U波倒置在急性冠脉综合征诊断中的应用研究  

Application of U Wave Inversion of Electrocardiogram in the Diagnosis of Acute Coronary Syndrome

作　　者：杨涛 

机构地区：[1]皖南医学院弋矶山医院,安徽芜湖241001

出　　处：《中外医学研究》2017年第32期97-99,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨心电图U波倒置在急性冠脉综合征(ACS)诊断中的应用。方法:选择笔者所在医院2015年1月-2016年12月收治的110例ACS患者为研究对象,按心电图检查结果有无U波倒置进行分组,其中51例U波倒置的患者为观察组,59例无U波倒置的患者为对照组,比较两组患者确诊ACS后心律失常的发生情况。结果:观察组的窦性心动过缓、非持续性室性心动过速、窦性心动过速患病率均高于对照组,差异有统计学意义(P<0.05)。观察组冠脉病变两支和三支的发生率明显高于对照组,差异有统计学意义(P<0.05)。结论:心电图U波倒置可以作为预测ACS患者后期病情严重程度的一项指标。Objective：To investigate the application of U wave inversion in the diagnosis of acute coronary syndrome（ACS）.Method：110 cases of ACS patients in our hospital from January 2015 to December 2016 were selected as research objects,according to the ECG results with or without U wave inversion group,51 patients with U wave inversion as the observation group and 59 patients without U wave inversion as the control group.The differences of arrhythmia during follow-up between the two groups were observed.Result：Compared with the control group,the incidence of sinus bradycardia,non persistent ventricular tachycardia and sinus tachycardia were obviously higher in the observation group,the differences were statistically significant（P〈0.05）.Compared with the control group,the incidence of coronary artery disease in two and three branches were significantly higher in the observation group,the differences were statistically significant（P〈0.05）.Conclusion：The inversion of U wave in ECG can be used as an index to predict the severity of ACS.

关 键 词：急性冠脉综合征 心电图 U波倒置 心律失常 

分 类 号：R541.4[医药卫生—心血管疾病]