急性前壁心肌梗死患者心电图ST段变化和C反应蛋白水平的关系  

Association between electrocardiographic pattern ST segment and level of C-reactive protein in patients with acute myocardial infarction

作　　者：戚德清[1] 方颖[1] 曾小菁[1] 周元植[1] 

机构地区：[1]贵阳医学院附属医院心内科,550004

出　　处：《贵州医药》2003年第9期801-802,共2页Guizhou Medical Journal

摘　　要：目的研究急性前壁心肌梗死 (AMI)患者心电图 (ECG)ST段变化和C反应蛋白(CRP)水平的关系。方法 2 2例首次AMI患者发病后第 1、2、3、7天皆经 12导联ECG和CRP检查后被分成两组 :A组ST段等电位 ;B组ST段抬高伴或不伴T波倒置。两组间CRP值进行比较。结果A组患者随发病天数延长逐渐增多 ,第 1天 7例、第 2天 10例、第 3天 12例、第 7天 14例 ;B组相应渐少。两组CRP水平第 1天和第 7天无差异 ,第 2天和第 3天有极显著差异 ,分别是第 2天 31 1±34 2 / 96 2± 38 1mg/L(P =0 0 0 1) ;第 3天 31 3± 12 3/ 79 4± 36 3mg/L(P =0 0 0 0 5 )。 结论AMI患者发病后第 2和第 3天ECGST段抬高与高CRP水平密切相关。对ST段抬高者的预后有重要指导意义。Objective To study association between electrocardiographic(ECG) pattern ST segment and level of C-reactive protein (CRP) in patients with anterior wall acute myocardial infarction (AMI).Methods Twenty-two patients with first AMI underwent 12-lead ECG and measured serum CRP levels on day 1、2、3 and 7 were classified into two groups according to the recording:pattern A-isoelectric ST segment,pattern B-ST sgment elevation with or without a negative T wave.serum CRP levels were compared between two groups.Results The number of patients classified as pattern A increased over time,from 7 cases on day 1 after AMI to 10 on day 2、12 on day 3 and 14 on day 7,with a corresponding decrease in pattern B patients.The pattern A and pattern B patients showed a statistical indifference in serum CRP levels on day 1 and on day 7,a much significant difference on day 2 and on day 3,respectively were:31.1±34.2 Vs 96.2±38.1mg/L(P=0.001) and 31.3±12.3 Vs 79.4± 36.3 mg/L P=0.0005).Conclusion There was a significant association between on the second and third day following AMI and ECG pattern B(ST elevation).This conclusion is important to predictive of poor outcome in pattern B patient population.

关 键 词：急性前壁心肌梗死 心电图 ST段抬高 C反应蛋白 

分 类 号：R542.22[医药卫生—心血管疾病] R540.41[医药卫生—内科学]