急性前壁心肌梗死心电图ST段变化与梗死相关动脉研究  

Study on the ST Segment Changes of Electrocardiogram and Infarct Related Arteries in Acute Anterior Myocardial Infarction

作　　者：许曼俐 潘华福 岳锦明 Xu Man-Li;Pan Hua-Fu;Yue Jin-Ming(Electrocardiogram Room,Wuzhou Red Cross Hospital,Guangxi Wuzhou 543000;No.2 Cardiovascular Medicine,Wuzhou Red Cross Hospital,Guangxi Wuzhou 543000;No.1 Cardiovascular Medicine,Wuzhou Red Cross Hospital,Guangxi Wuzhou 543000)

机构地区：[1]梧州市红十字会医院心电检查科,广西梧州543000 [2]梧州市红十字会医院心血管内科二病区,广西梧州543000 [3]梧州市红十字会医院心血管内科一病区,广西梧州543000

出　　处：《中国医疗器械信息》2023年第10期24-26,共3页China Medical Device Information

摘　　要：目的:分析急性前壁心肌梗死心电图ST段变化情况与梗死相关动脉之间的相关性。方法:选取2020年1月~2022年12月医院所收治的58例前壁急性心肌梗死患者为主要对象,分为对照组和观察组各29例,患者均进行冠脉造影(Chronic Atrophic Gastritis,CAG)与心电图检测,根据心电图ST段的变化情况,对梗死相关动脉进行分析。结果:单支病变、双支病变、三支病变上比较无显著差异(P>0.05);在ST段升高导联中,前降支近端闭塞在Ⅰ、aVL上检查准确率显然优于前降支远部闭塞(P<0.05),其他对照无突出差别(P>0.05),ST段低压导联中,前降支近端闭塞Ⅱ、Ⅲ、aVF上检测率显然优于前降支远端闭塞(P<0.05),其他对照无突出差别(P>0.05)。结论:对于急性前壁心肌梗死心电图ST段的变化情况来说,具体的变化情况与梗死相关动脉之间有一定的联系,可以通过心电图ST段的具体变化情况来预测心肌梗死的相关动脉的变化情况。Objective:To analyze the correlation between changes in the ST segment of electrocardiogram in acute anterior myocardial infarction and infarct related arteries.Methods:58 patients with anterior wall acute myocardial infarction admitted to the hospital from January 2020 to December 2022 were selected as the main subjects.They were divided into a control group and an observation group,with 29 patients in each group.All patients underwent coronary angiography(CAG)and electrocardiogram detection.The infarct related arteries were analyzed based on the changes in the ST segment of the electrocardiogram.Results:There was no significant difference in single vessel lesions,double vessel lesions,or three vessel lesions(P>0.05);In the ST segment elevated lead,the detection accuracy of proximal anterior descending branch occlusion onⅠand aVL was significantly better than that of distal anterior descending branch occlusion(P<0.05),and there was no significant difference in other controls(P>0.05).In the ST segment low pressure lead,the detection rate of proximal anterior descending branch occlusion onⅡ,Ⅲ,and aVF was significantly better than that of distal anterior descending branch occlusion(P<0.05),and there was no significant difference in other controls(P>0.05).Conclusion:For the changes in the ST segment of the electrocardiogram in acute anterior myocardial infarction,there is a certain correlation between the specific changes and the infarct related arteries.The specific changes in the ST segment of the electrocardiogram can be used to predict the changes in the infarct related arteries.

关 键 词：冠脉造影情况 前壁梗死 研究分析 内容探究 梗死动脉 心肌梗死 

分 类 号：R54[医药卫生—心血管疾病]