肺动脉高压患者踝臂指数与心电图ST段抬高的相关性研究  

Correlation between ankle brachial index and ST-segment elevation in patients with pulmonary hypertension

作　　者：杨永春[1] 刘丽丽[1] 张志英[1] 黎艳群 YANG Yongchun;LIU Lili;ZHANG Zhiying;LI Yanqun(Ganzhou People′s Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院,江西赣州341000

出　　处：《临床医药实践》2020年第12期903-905,937,共4页Proceeding of Clinical Medicine

基　　金：赣州市2019年指导性科技计划项目(项目编号:GZ2019ZSF154)。

摘　　要：目的:探讨肺动脉高压患者踝臂指数与心电图ST段抬高的相关性。方法:选择2017年12月-2019年11月收治的肺动脉高压患者60例,均行踝臂指数(ABI)检测及心电图检查。根据ABI测定结果分为ABI≤0.9组(23例)和ABI>0.9组(37例)。比较两组患者的一般资料、心电图参数、ST段抬高及急性心肌梗死、变异性心绞痛、心包炎等相关心血管事件发生率。结果:两组患者性别、年龄、病程等一般资料比较,差异无统计学意义(P>0.05)。ABI≤0.9组Ⅰ导联S波振幅绝对值、V1导联R波振幅、V5导联S波振幅绝对值、aVR导联R波振幅、V1导联R/S,RV1+SVR、Ⅱ导联P波振幅、Ⅱ导联P波宽度、QRS间期、QRS电轴均明显高于ABI>0.9组(P<0.05),V5导联R/S、Ⅰ导联R/S明显低于对照组(P<0.05)。ABI≤0.9组心电图ST段抬高及急性心肌梗死、变异性心绞痛、心包炎等相关心血管事件发生率明显高于ABI>0.9组(P<0.05)。结论:ABI≤0.9的肺动脉高压患者心电图ST段抬高发生率明显上升,可作为肺动脉高压心血管危险因素的预测指标。Objective:To investigate the correlation between ankle brachial index and ST-segment elevation in electrocardiogram in patients with pulmonary hypertension.Methods:A total of 60 patients with pulmonary hypertension treated in hospital from December 2017 to November 2019 were selected and all underwent ankle-brachial index(ABI)detection and electrocardiogram examination.According to the ABI measurement results,the patients were divided into ABI≤0.9 group(23 cases)and ABI>0.9 group(37 cases).The general information,ECG parameters,ST-segment elevation and acute myocardial infarction,variant angina pectoris,pericarditis related cardiovascular events were compared between the two groups.Results:There was no significant difference in the general situation of gender,age,and disease duration between the two groups(P>0.05).ABI≤0.9 group I absolute S-wave amplitude,lead V 1 R-wave amplitude,lead V 5 S-wave absolute value,aVR lead R-wave amplitude,lead V 1 R/S,R V 1+S VR,leadⅡThe amplitude of P wave,the width of P wave of leadⅡ,QRS interual and the QRS axis were significantly higher than those of ABI>0.9 group(P<0.05),R/S in lead V 5 and R/S in lead I were significantly lower than those of the control group(P<0.05).The incidence of ST-segment elevation and related cardiovascular events in the ABI≤0.9 group was significantly higher than that in the ABI>0.9 group(P<0.05).Conclusion:The incidence of ST-segment elevation in ECG patients with ABI≤0.9 is significantly increased,which can be used as a predictor of cardiovascular risk factors for pulmonary hypertension.

关 键 词：肺动脉高压 踝臂指数 心电图 ST段抬高 

分 类 号：R543.2[医药卫生—心血管疾病]