心电图aVR T波形态与ST段抬高型心肌梗死患者冠状动脉病变程度的关系

Abstract
Figure/Table
References (22)
Related Citation (15)

Download: PDF (577 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the relationship between the aVR T wave shape of electrocardiogram and the degree of coronary artery lesions in patients with ST-segment elevation myocardial infarction. Methods One hundred and seven patients with ST-segment elevation myocardial infarction treated in 3201 Hospital Affiliated to Medical College of Xi′an Jiaotong University from January 2016 to January 2019 were divided into group A (positive electrocardiogram aVR T wave shape, 41 cases) and group B (non-positive electrocardiogram aVR T wave shape, 66 cases) according to the different electrocardiogram aVR T wave shape at admission. The basic data, the level of each laboratory examination index and the number of coronary artery lesion of two groups were compared. Logistic regression analysis was used to analyze the positive influence factors of aVR T wave shape. Results Left ventricular ejection fraction (LVEF) of group A was lower than that of group B, while the serum brain natriuretic peptide (BNP) and troponin I (cTnI) levels of group A were higher than those of group B (P < 0.05). There was significant difference in the total number of coronary artery lesions between two groups (P < 0.05). Logistic regression analysis showed that LVEF (OR = 0.337, 95%CI: 0.173-0.656) was the protective factor of aVR T wave postive in patients with ST-segment elevation myocardial infarction (P < 0.05), while BNP (OR = 1.715, 95%CI: 1.278-2.30), cTnI (OR = 1.535, 95%CI: 1.218-1.935), the multiple vessel lesions (OR = 2.275, 95%CI: 1.536-3.369) were the independent risk factors of aVR T wave postive in patients with ST-segment elevation myocardial infarction (P < 0.05). Conclusion aVR T wave positive is the risk factor of multi vessel lesions in patients with ST-segment elevation myocardial infarction. Close monitoring of aVR T wave can evaluate the degree of coronary artery lesions in patients with ST-segment elevation myocardial infarction.

Key words： ST-segment elevation myocardial infarction Degree of coronary artery lesions Electrocardiogram aVR T wave shape

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YAN Jiesong ZHOU Dong TANG Xiangrui GUO Hongyi ZHAO Kuan

Cite this article:

YAN Jiesong ZHOU Dong TANG Xiangrui GUO Hongyi ZHAO Kuan. Relationship between aVR T wave shape of electrocardiogram and the degree of coronary artery lesions in patients with ST-segment elevation myocardial infarction[J]. 中国医药导报, 2020, 17(8): 76-79.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I8/76

[1] 徐晓蓉，李奎宝，王攀，等.阿托伐他汀对急性ST段抬高型心肌梗死患者血浆内皮素及血小板功能的影响[J].中华内科杂志，2016，55（12）：932-936.
[2] Ginanjar E，Yulianto Y，Salim S，et al. Double culprits in a patient with ST elevation myocardial infarction：a challenging but rewarding case [J]. Acta Med Indones，2018， 50（2）：165-167.
[3] 孙静.心电图检查对118例急性非ST段抬高型心肌梗死患者的临床观察[J].锦州医科大学学报，2017，38（5）：32-35.
[4] 章艳萍，肖美娟，申淑荣，等.aVR导联ST段改变对急性非ST段抬高型心肌梗死相关血管的判定及临床意义[J].中西医结合心脑血管病杂志，2016，14（19）：2293-2296.
[5] 中华医学会心血管病学分会，中华心血管病杂志编辑委员会.急性ST段抬高型心肌梗死诊断和治疗指南[J].中华心血管病杂志，2010，38（8）：675-690.
[6] Ginanjar E，Yulianto Y. ST elevation in lead aVR and its association with clinical outcomes [J]. Acta Med Indones，2017，49（4）：347-350.
[7] 陈志刚，吴敏，邱晨，等.院前无线12导联心电图传输对急性ST段抬高型心肌梗死患者治疗的影响[J].中华灾害救援医学，2017，5（12）：677-680.
[8] 杨曙艳，齐大屯，李牧蔚，等.碎裂QRS波对急性非ST段抬高型心肌梗死患者预后的影响[J].中华实用诊断与治疗杂志，2017，31（5）：479-481.
[9] 叶武成，郭箫箫，高彩丽，等.急性ST段抬高心肌梗死患者发病特点及预后危险因素分析[J].河北医药，2016，38（8）：1203-1206.
[10] 罗志刚.胸痛中心成立前后的急性ST段抬高型心肌梗死患者救治效果差异分析[J].中国医药科学，2018，8（9）：155-158.
[11] 黄友良.急诊冠状动脉介入疗法对急性ST段抬高型心肌梗死患者左心室功能的影响[J].中国现代医生，2018， 56（7）：13-15.
[12] 张磊，赵力，胡申江，等.aVR导联ST段抬高对急性心肌梗死相关血管的判定及意义[J].中华急诊医学杂志，2015，24（2）：199-201.
[13] 池萌，万娅敏，高剑波，等.左主干起源于右冠状动脉窦并导致反复晕厥一例[J].中华心血管病杂志，2018，46（3）：232-233.
[14] Brenes-Salazar JA. ST-segment elevation in lead aVR：a visual reminder of potential catastrophe [J]. JAMA Intern Med，2018，178（6）：847-848.
[15] 田林芳.aVR导联ST段抬高在心电图中的诊断价值[J].中西医结合心血管病电子杂志，2019，7（20）：79，81.
[16] 吴肇贵，黄从新，向晋涛，等.心房颤动伴室性早搏与伴室内差异性传导的鉴别方法[J].中华心律失常学杂志，2016，20（6）：538-540.
[17] 黄素荣.心电图aVR导联ST段改变在急性心肌梗死预测中的临床价值分析[J].河南医学研究，2017，26（10）：1880-1881.
[18] Zaghloul A，Iorgoveanu C，Balakumaran K，et al. Limitations of coronary computed tomography angiography in predicting acute coronary syndrome in a low to intermediate-risk patient with chest pain [J]. Cureus，2018，10（5）：e2649.
[19] Zhao YT，Zhou H，Shi R，et al. Total occlusion of the left main coronary artery presenting as ST-elevation myocardial infarction [J]. J Electrocardiol，2018，51（3）：479-480.
[20] 张晓晖，曾伟.aVR导联ST段抬高结合肌钙蛋白I预测非ST段抬高型急性冠状动脉综合征患者预后[J].中国医药科学，2016，6（18）：11-14.
[21] 王红娜，孔倩雯，房兆飞，等.aVR T波形态在评价老年ST段抬高型心肌梗死冠状动脉病变严重程度中的意义[J].心电与循环，2018，37（2）：103-107.
[22] 李海莎，裴志芳，张赛丹，等.aVR导联T波对急性心肌梗死患者预后的预测价值[J].中国医师杂志，2016，18（11）：1658-1661.