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心电图QRS-T夹角联合入院超敏C反应蛋白对冠心病患者经皮冠脉介入术后并发恶性心律失常的预测价值
章丽云      赵娜      吴寅莹
江苏省如皋市中医院心电图室,江苏如皋   226500
Prediction value of QRS-T angle of electrocardiogram combined with admission hypersensitive C-reactive protein in patients with coronary heart disease complicated with malignant arrhythmia after percutaneous coronary intervention
ZHANG Liyun   ZHAO Na   WU Yinying
ECG Room, Rugao Hospital of Traditional Chinese Medicine, Jiangsu Province, Rugao   226500, China
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摘要 目的 探究心电图QRS-T夹角联合入院超敏C反应蛋白(hs-CRP)预测冠心病并发恶性心律失常的价值。方法 选取2016年8月至2021年7月江苏省如皋市中医院收治的72例冠心病患者作为研究对象,根据患者经皮冠脉介入术后1个月内是否并发恶性心律失常将其分为合并组(27例)和未合并组(45例)。比较两组病历资料、血液学指标及入院后心电图QRS-T夹角,分析冠心病患者术后并发恶性心律失常的相关影响因素,并评估心电图QRS-T夹角及入院hs-CRP水平对冠心病患者经皮冠脉介入术后并发恶性心律失常的预测价值。 结果 合并组吸烟史占比、血钾水平<3.5 mmol/L占比、心电图QRS-T夹角、入院hs-CRP水平均高于未合并组,差异有统计学意义(P < 0.05)。多因素分析结果显示,吸烟史、血钾< 3.5 mmol/L、心电图QRS-T夹角、入院hs-CRP水平均为冠心病患者经皮冠脉介入术后并发恶性心律失常的影响因素(P < 0.05)。心电图QRS-T夹角联合入院hs-CRP水平对冠心病患者经皮冠脉介入术后并发恶性心律失常的预测价值高于二者单独预测(P < 0.05)。 结论 心电图QRS-T夹角联合入院hs-CRP水平在冠心病经皮冠脉介入术后并发恶性心律失常中具有较高的预测效能,值得进一步推广。
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章丽云 赵娜 吴寅莹
关键词 冠心病恶性心律失常QRS-T夹角超敏C反应蛋白预测效能    
Abstract:Objective To explore the prediction value of QRS-T angle of electrocardiogram combined with admission hypersensitive C-reactive protein (hs-CRP) in patients with coronary heart disease complicated with malignant arrhythmia after percutaneous coronary intervention. Methods A total of 72 patients with coronary heart disease admitted to Rugao Hospital of Traditional Chinese Medicine, Jiangsu Province from August 2016 to July 2021 were selected as the study subjects. According to whether the patients were complicated with malignant arrhythmia within one month after percutaneous coronary intervention, they were divided into combined group (27 cases) and uncombined group (45 cases). The medical records, hematological indexes, and QRS-T angle of electrocardiogram after admission were compared between the two groups, the related influencing factors postoperative malignant arrhythmia in patients with coronary heart disease after percutaneous coronary were analyzed, and the predictive value of QRS-T angle of electrocardiogram and admission hs-CRP level for postoperative malignant arrhythmia in patients with coronary heart disease were evaluated. Results The proportion of smoking history, proportion of blood potassium level < 3.5 mmol/L, QRS-T angle, and admission hs-CRP level in the combined group were higher than those in the uncombined group, the differences were statistically significant (P < 0.05). Multivariate results showed that smoking history, blood potassium level < 3.5 mmol/L, QRS-T angle of electrocardiogram, and admission hs-CRP level were the influencing factors of postoperative malignant arrhythmia in patients with coronary heart disease after percutaneous coronary intervention (P < 0.05). The predictive value of QRS-T angle combined with admission hs-CRP level in patients with coronary heart disease after percutaneous coronary intervention was higher than that of the two alone (P < 0.05). Conclusion QRS-T angle of electrocardiogram combined with admission hs-CRP level has high predictive efficacy in patients with coronary heart disease after percutaneous coronary intervention complicated with malignant arrhythmia, which is worthy of further promotion.
Key wordsCoronary heart disease    Malignant arrhythmia    QRS-T angle    Hypersensitive C-reactive protein    Predictive power
    
基金资助:江苏省自然科学基金资助项目(BK20191076)。
引用本文:   
章丽云 赵娜 吴寅莹. 心电图QRS-T夹角联合入院超敏C反应蛋白对冠心病患者经皮冠脉介入术后并发恶性心律失常的预测价值[J]. 中国医药导报, 2022, 19(17): 63-66.
ZHANG Liyun ZHAO Na WU Yinying. Prediction value of QRS-T angle of electrocardiogram combined with admission hypersensitive C-reactive protein in patients with coronary heart disease complicated with malignant arrhythmia after percutaneous coronary intervention. 中国医药导报, 2022, 19(17): 63-66.
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