心电图检测Aslanger征提示急性下壁心肌梗死合并其他冠脉严重病变的价值  

ECG Detection of Aslanger Sign Suggests the Value of Acute Inferior Myocardial Infarction with Other Serious Coronary Lesions

作　　者：林小秀 赖青英 温梦荷 LIN Xiao-xiu;LAI Qing-ying;WEN Meng-he(ECG Room of Longyan First Hospital Affiliated to Fujian Medical University,Fujian Longyan 364000)

机构地区：[1]福建医科大学附属龙岩第一医院心电图室,福建龙岩364000

出　　处：《中国医疗器械信息》2024年第18期152-154,共3页China Medical Device Information

摘　　要：目的:分析心电图检测Aslanger征对急性下壁心肌梗死(AIMI)合并其他冠状动脉严重病变的临床预测价值。方法:选择AIMI患者100例为研究对象,于2021年5月~2022年5月就诊,按照首份心电图检查结果,将出现Aslanger征的39例患者纳入试验组,未出现Aslanger征61例患者纳入对照组。分别对两组患者进行心电图、冠脉造影检测,对比两组检查结果,同时检测两组患者心脏标志物(cTnl、CK-MB、NT-proBNP、LVEF)并比较。结果:试验组患者较对照组更容易出现STv3R-v5R↑、STv7-v9↑、STv4-v6↓、STV1↑、STavF↓,差异有统计学意义(P<0.05),而STv1-v3↓两组则无明显差异(P>0.05);试验组患者右冠状动脉(RCA)近端发生梗死占比82.05%(32/39),高于对照组的42.62%(26/61),RCA中远端占比及左冠状动脉回旋支(LCX)占比均低于对照组(P<0.05);试验组患者冠状动脉狭窄程度较对照组更为严重,且双支病变、三支病变比例明显高于对照组;试验组各项心功能指标低于对照组。结论:出现Aslanger征的AIMI患者往往存在较高风险发生冠脉狭窄等冠脉病变的情况,患者的心功能更差,较未出现Aslanger征的患者更容易发生两支或以上冠状动脉病变,可直接反映AIMI患者的病情严重程度,对临床病情评估有较高价值。Objective:To analyze the clinical predictive value of electrocardiogram detection of Aslanger sign for acute inferior myocardial infarction(AIMI)complicated with other severe coronary artery lesions.Methods:100 AIMI patients were selected as the research subjects and treated from May 2021 to May 2022.According to the results of the first electrocardiogram examination,39 patients with Aslanger sign were included in the experimental group,and 61 patients without Aslanger sign were included in the control group.Perform electrocardiogram and coronary angiography tests on two groups of patients separately,compare the results of the two groups,and simultaneously detect cardiac markers(cTnl,CK-MB,NT-proBNP,LVEF)in the two groups of patients and compare them.Results:Patients in the experimental group were more prone to STv3R-v5R↑,STv7-v9↑,STv4-v6↓,STV1↑,and STavF↓compared to the control group,with statistically significant differences(P<0.05).However,there was no significant difference in STv1-v3↓between the two groups(P>0.05);The proportion of patients with proximal right coronary artery(RCA)infarction in the experimental group was 82.05%(32/39),which was higher than the control group’s 42.62%(26/61).The proportion of patients with distal RCA and left coronary artery circumflex branch(LCX)was lower than that in the control group(P<0.05);The degree of coronary artery stenosis in the experimental group was more severe than that in the control group,and the proportion of double vessel and triple vessel lesions was significantly higher than that in the control group;The cardiac function indicators of the experimental group were lower than those of the control group.Conclusion:AIMI patients with Aslanger sign often have a higher risk of developing coronary artery stenosis and other coronary artery lesions.Patients have poorer heart function and are more likely to develop two or more coronary artery lesions than those without Aslanger sign.This can directly reflect the severity of AIMI patients and has high valu

关 键 词：心电图 Aslanger征 急性下壁心肌梗死 冠状动脉疾病 

分 类 号：R542.2[医药卫生—心血管疾病]