Predictive value of aVR lead of electrocardiogram combined with precursor brain natriuretic peptide level in heart failure after acute anterior myocardial infarction#br#
AN Dongmei1 CAO Li2▲ LIU Jie1 RUI Daorong3#br#
1.Department of Cardiovascular Medicine, No.904 Hospital of Joint Logistics Support Force of the Chinese People’s Liberation Army, Jiangsu Province, Wuxi 214000, China;
2.Department of Cardiovascular Medicine, Wuxi Fifth People’s Hospital, Jiangsu Province, Wuxi 214000, China;
3.Department of Cardiovascular Medicine, the Second Affiliated Hospital of Wannan Medical College, Anhui Province, Wuhu 241001, China
Abstract：Objective To investigate the predictive value of AVR lead of electrocardiogram combined with pro-brain natriuretic peptide (pro-BNP) level in predicting heart failure after acute anterior myocardial infarction (AAMI). Methods From February 2019 to May 2020, a total of 97 patients with AAMI who underwent percutaneous coronary intervention (PCI) were selected as the research objects. Patients were divided into heart failure group and non-heart failure group according to whether they have heart failure within three months after surgery. The logistic multivariate regression method was used to analyze the influencing factors of heart failure in patients with AAMI within three months after PCI. Receiver operating characteristic (ROC) curve was used to analyze the preoperative ST segment elevation in aVR lead electrocardiogram, preoperative plasma pro-BNP level and their combined predictive value in AAMI patients with heart failure within three months after PCI. Results The time window of treatment after onset, the degree of preoperative stenosis, the number of preoperative vascular lesions, the proportion of ST segment elevation in aVR lead, the preoperative serum creatinine and plasma pro-BNP levels in the heart failure group were higher than those in the non-heart failure group (P ＜ 0.05). Logistic multivariate analysis showed that preoperative ST-segment elevation in aVR lead electroacrdiogram, and preoperative plasma pro-BNP level were the influencing factors for AAMI patients with heart failure within three months after PCI (P ＜ 0.05). The sensitivity and specificity of preoperative ST segment elevation in aVR lead electroacrdiogram in diagnosing AAMI patients with heart failure within three months after PCI were 82.69% and 82.22%, respectively. The ROC curve results showed that preoperative plasma pro-BNP level and the combination of the two predicted the AUC values of AAMI patients with heart failure within three months after PCI were 0.728, 0.866, respectively (P ＜ 0.05). Conclusion Preoperative ST-segment elevation in aVR lead and preoperative plasma pro-BNP levels have certain value in predicting AAMI patients with heart failure within three months after PCI, and the combined detection has a higher predictive value.
安冬梅1 曹丽2▲ 刘洁1 芮道荣3. 心电图aVR导联联合前体脑钠肽水平对急性前壁心肌梗死后心力衰竭的预测价值[J]. 中国医药导报, 2022, 19(23): 49-52,61.
AN Dongmei1 CAO Li2▲ LIU Jie1 RUI Daorong3. Predictive value of aVR lead of electrocardiogram combined with precursor brain natriuretic peptide level in heart failure after acute anterior myocardial infarction#br#. 中国医药导报, 2022, 19(23): 49-52,61.
京公网安备 11010502046598号