QRS波时限、EF值与AMI心衰患者预后的研究  

Study prognostic of QRS wave dulation and LVEF% to aute myocardial infarction patients with heart failure

作　　者：金海燕[1] 黄佐贵[1] 杜国伟[1] 石伟[1] 李倩[1] 李潇华[1] 殷波[1] 庞小华[1] 向娟[1] 文丹 潘楠[1] 郭敏[1] Jin haiyan;Huang zuogui;Du guowei;Shi wei;Li qian;Li xiaohua;Yin bo;Pang xiaohua;Xiang juan;Wen dan;Pan nan;Guo min(Department of cardiology,The Chongqing three Gorgescentral Hospital,Chongqing,404000,China)

机构地区：[1]重庆三峡中心医院

出　　处：《临床心电学杂志》2019年第4期279-282,共4页Journal of Clinical Electrocardiology

摘　　要：目的探讨QRS波时限和EF%与AMI心衰者心脏猝死的预后分析。方法应用12导联24 h动态心电图记录QRS波时限变化值和超声测算LVEF%值对80例急性心肌梗死(AMI)心力衰竭患者组(观察组)和80例冠心病非急性心肌梗死组(对照组)进行预后分析。结果QRS时限延长值≥110sm、LVEF%值≤30%的80例AMI心力衰竭患者组(观察组)1年内的病死率为18.75%,80例冠心病非急性心肌梗死患者组(对照组)1年内的病死率为2.50%,两组比较p<0.01;QRS时限值<110sm、LVEF%值≥40%的80例观察组的1年内病死率为5.00%,80例对照组为1.25%,两组比较差异有统计学意义p<0.01。两组的组内的病死率比较:观察组组内的病死率比较,差异有统计学意义,p<0.01,对照组组内的病死率比较,无差异性,p>0.05。结论急性心肌梗死伴心力衰竭患者的QRS波时间延长和LVEF%降低的病死率较高,应引起足够重视。QRS波时间延长变化和LVEF%降低对AMI心衰患者具有很强预警价值。Objective To analysis of prognostic using of QRS wave dulation and LVEF%to aute myocardial infarction with heart failure patients.Methods Using of 24-hour dynamic electrocardiogram recording to with analysis of QRS wave dulation and were Ultreasound Elastography Color Display LVEF%to the eighty patients were aute myocardial infarction patients with heart failure(observed group)and the eighty patients were no aute myocardial infarction(compared people group)Comparson analysis of in progress prognostic of QRS wave dulation value and LVEF%value.Results QRS dulation(QRSd)≥110 sm、LVEF%<30%value 0 f in one year:the eighty patients were aute myocardial infarction patients with heart failure(observed group)mortality was 18.75%,the eighty patients were no aute myocardial infarction(compared people group)mortality was 2.50%,two groups Comparson p<0.01;QRS time<110 sm 110 sm、LVEF%≥40%value 0 f in one year:the eighty patients were aute myocardial infarction patients with heart failure(observed group)mortality was 5.00%,the eighty patients were no aute myocardial infarction(compared people group)mortality was 1.25%,two groups Comparson p<0.01.The mortality of in two groups Comparson:observed group was p<0.01;compared people group was p>0.01.Conclusions The QRS wave dulation and LVEF%lower aute myocardial infarction patients with heart failure were sudden death high-danger crowd screening.The QRS wave dulation and LVEF%lower to aute myocardial infarction patients with heart failure and prewarning have very strong of useful value.

关 键 词：急性心肌梗死 心力衰竭 QRS波时限 LVEF% 预警 

分 类 号：R541.7[医药卫生—心血管疾病] R540.41[医药卫生—内科学]