T波参数与AMI患者PCI后危及生命的心律失常风险的相关性  

Correlation between T-wave parameters and life-threatening arrhythmia risk of AMI patients after PCI

作　　者：桂璐 廖骏 王巍 GUI Lu;LIAO Jun;WANG Wei(Electrocardiogram Room,Huzhou No.1 People’s Hospital,Huzhou 313000,Zhejiang,China;Department of Cardiology,Huzhou No.1 People’s Hospital,Huzhou 313000,Zhejiang,China)

机构地区：[1]湖州市第一人民医院心电图室,浙江湖州313000 [2]湖州市第一人民医院心血管内科,浙江湖州313000

出　　处：《中国现代医生》2025年第11期17-21,共5页China Modern Doctor

摘　　要：目的 分析T波参数与急性心肌梗死(acute myocardial infarction,AMI)患者冠状动脉介入术(percutaneous coronary intervention,PCI)后出现危及生命的心律失常(life-threatening arrhythmia,LTA)的相关性。方法 选取2021年5月至2023年3月于湖州市第一人民医院接受PCI治疗的232例AMI患者作为研究对象,根据PCI后72h内是否出现LTA分为LTA组(n=36)和非LTA组(n=196)。比较两组患者的一般资料、临床资料及T波参数,采用多因素Logistic回归分析影响因素。结果 两组患者的年龄、静息心率(restingheartrate,RHR)、Tp-Te/QT及Tp-Tec比较,差异有统计学意义(P<0.05)。两组患者的前壁心梗、肌酐及超敏肌钙蛋白T(high-sensitivity cardiac troponin T,hs-cTnT)比较,差异有统计学意义(P<0.05);年龄、RHR、Tp-Te/QT和Tp-Tec及hs-cTnT是AMI患者PCI后LTA的影响因素(P<0.05)。Logistic回归分析结果显示,年龄、Tp-Te/QT和hs-cTnT是AMI患者PCI后LTA的独立影响因素(P<0.05)。结论 AMI患者行PCI后出现LTA风险较高,年龄、Tp-Te/QT和hs-cTnT是AMI患者PCI后LTA的独立影响因素。Objective To analyze correlation between T-wave parameters and life-threatening arrhythmia(LTA)after percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI).Methods A total of 232 AMI patients admitted to Huzhou No.1 People’s Hospital from May 2021 to March 2023 and treated with PCI were selected as subjects.They were divided into LTA group(n=36)and non LTA group(n=196)based on the presence of LTA within 72 hours after PCI.General information,clinical data,and T-wave parameter of two groups of patients were compared,and multivariate Logistic regression were used to analyze influencing factors.Results There were statistically significant difference in age,resting heart rate(RHR),Tp-Te/QT,and Tp-Tec between two groups(P<0.05).The difference in anterior wall myocardial infarction,creatinine,and high-sensitivity cardiac troponin T(hs-cTnT)between two groups were statistically significant(P<0.05).Age,RHR,Tp-Te/QT,Tp-Tec and hs-cTnT were the influencing factors of LTA in AMI patients after PCI(P<0.05).Multivariate Logistic regression showed that age,Tp-Te/QT and hs-cTnT were independent influencing factors of LTA in AMI patients after PCI(P<0.05).Conclusion AMI patients have a higher risk of life-threatening arrhythmia after PCI.Age,Tp-Te/QT and hs-cTnT are independent influencing factors of LTA after PCI.

关 键 词：急性心肌梗死 冠状动脉介入术 心律失常 

分 类 号：R542.2[医药卫生—心血管疾病]