冠心病心力衰竭患者PCI术前动态心电图特征与预后的相关性

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (598 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the characteristics of preoperative percutaneous coronary intervention (PCI) dynamic electrocardiogram characteristics in patients with coronary artery heart disease and heart failure with different prognosis and to analyze the relationship between preoperative PCI dynamic electrocardiogram and prognosis. Methods The clinical data of 80 patients with coronary artery heart disease and heart failure who were treated in Dazu Hospital Affiliated to Chongqing Medical University from January 2018 to January 2019, completed PCI treatment and one year follow-up after treatment, was retrospectively analyzed. All patients received dynamic electocardiogram detection before PCI, according to whether the patients had adverse cardiovascular events during the one year follow-up period, they were divided into good prognosis group (69 cases) and poor prognosis group (11 cases). The baseline data and preoperative dynamic electrocardiogram characteristics of patients with coronary artery heart disease and heart failure with different prognostic outcomes were compared, then the receiver operating characteristic (ROC) curve was drew to analyze the value of preoperative dynamic electrocardiogram characteristics in predicting the poor prognosis of patients with coronary artery heart disease and heart failure after PCI. Results The incidence of adverse cardiovascular events in patients with coronary artery heart disease and heart failure was 13.75% (11/80); the standard deviation of NN intervals (SDNN), standard deviation average of NN intervals (SDANN), standard deviation of normal RR intervals index (SDNNI), root mean square of successive differences (rMSSD) in the poor prognosis group were lower than those in the good prognosis group, the differences were statistically significant (P ＜ 0.05). The ROC curve was drew to obtain SDNN, SDANN, SDNNI and rMSSD to predict the poor prognosis of patients with coronary artery heart disease and heart failure after PCI, the area under the curve (AUC) were 0.865, 0.920, 0.848 and 0.918 separately, and the predictive value was ideal. The prediction values of SDANN and rMSSD were better. Conclusion Patients with coronary artery heart disease and heart failure can predict the prognosis by SDNN, SDANN, SDNNI, rMSSD and other heart rate variability time domain indicators before PCI, to give reasonable intervention as soon as possible to improve the prognosis.

Key words： Coronary artery heart disease Heart failure Percutaneous coronary intervention Dynamic electrocardiogram Adverse cardiovascular events

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YE Dabin SONG Wenxin▲ SUN Feng TAN Yan CHEN Zhengyin CHEN Ye

Cite this article:

YE Dabin SONG Wenxin▲ SUN Feng TAN Yan CHEN Zhengyin CHEN Ye. Correlation between preoperative PCI dynamic electrocardiogram characteristics and prognosis in patients with coronary artery heart disease and heart failure[J]. 中国医药导报, 2020, 17(23): 49-52.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I23/49

[1] Al-Lamee R，Thompson D，Dehbi HM，et al. Percutaneous Coronary Intervention in Stable Angina (ORBITA)：A Double-Blind，Randomized Controlled Trial [J]. Lancet，2018，391（10115）：31-40.
[2] 张欢，周小燕，张露丹，等.老年冠心病患者PCI术后发生不良心脏事件的危险因素[J].昆明医科大学学报，2019， 40（8）：57-62.
[3] Mugnai G，Marchese G，Fede A，et al. Huge ST elevation and ventricular arrhythmias in vasospastic angina diagnosed by Holter monitoring [J].J Electrocardiol，2013，46（4）：331-333.
[4] 颜红兵.临床冠心病诊断与治疗指南[M].北京：人民卫生出版社，2010：5-26.
[5] 中华医学会心血管病学分会心力衰竭学组，中国医师协会心力衰竭专业委员会，中华心血管病杂志编辑委员会，等.中国心力衰竭诊断和治疗指南2018[J].中华心血管病杂志，2018，46（10）：760-789.
[6] Fisher JD. New York Heart Association Classification [J].Arch Intern Med，1972，129（5）：836.
[7] 高血压联盟（中国），中国医疗保健国际交流促进会高血压分会，中国高血压防治指南修订委员会，等.中国高血压防治指南（2018年修订版）[J].中国心血管杂志，2019，24（1）：25.
[8] 中华医学会糖尿病学分会.中国2型糖尿病防治指南（2017年版）[J].中华糖尿病杂志，2018，10（1）：4-67.
[9] 徐燕，刘存义，宋雷.经皮冠状动脉介入治疗对仅单支冠状动脉开放的冠心病心衰患者的疗效及安全性[J].安徽医学，2016，38（2）：220-222.
[10] 武金娥，霍建华，蒋永荣，等.老年冠心病患者PCI术后不良心脑血管事件的随访研究[J].西安交通大学学报：医学版，2019，40（4）：579-582.
[11] 刘发军，薛礼，陈鸿武，等.心率变异性联合NT-proBNP对心力衰竭病人再入院率的预测价值[J].蚌埠医学院学报，2019，44（9）：1166-1169.
[12] Jurak P，Halamek J，Meluzin J，et al. Ventricular dyssynchrony assessment using ultra-high frequency ECG technique [J]. J Crit Care，2017，49（3）：245-254.
[13] 樊静静.动态心电图检查对老年冠心病的诊断价值[J].国际老年医学杂志，2019，40（1）：22-24，38.
[14] Huang JC，Kuo IC，Tsai YC，et al. Heart Rate Variability Predicts Major Adverse Cardiovascular Events and Hospitalization in Maintenance Hemodialysis Patients [J]. Kidney Blood Press Res，2017，42（1）：76-88.
[15] 朱海，秦忠，巫相宏.冠心病患者心率变异性变化及PCI治疗对其的影响[J].医学综述，2016，22（3）：131-134.
[16] 于洋，王鸿，田俊萍，等.心率变异性在冠心病中的应用价值[J].中国医药导报，2017，14（11）：56-59.
[17] 侯艳杰，李娜.心率变异性在冠心病患者和冠心病合并高血压患者中应用价值的比较[J].临床和实验医学杂志，2016，15（4）：294-296.
[18] 杨法，苏明兰，李小珠，等.动态心电图心率变异性指标对急性脑卒中患者心脏自主神经功能的评估价值[J].广西医科大学学报，2016，33（3）：490-492.
[19] Jarrin DC，Mcgrath JJ，Giovanniello S，et al. Measurement fidelity of heart rate variability signal processing： The devil is in the details [J]. Int J Psychophysiol，2012，86（1）：88-97.
[20] 冯俊，罗春苗，张静，等.心率变异性时域指标对稳定性心绞痛患者冠状动脉狭窄的影响[J].安徽医学，2016， 37（12）：1480-1483.
[21] 李昭蓉，何涛，秦超，等.3种传导异常心律失常的心率变异性分析[J].广西医科大学学报，2016，33（3）：492-494.
[22] 孙亚娟，齐晓红，黄华敏.冠心病患者心率变异性研究[J].人民军医，2015，58（2）：189-190.
[23] 李海滨，姜志安，刘向东，等.监测心率变异性及QT间期离散度对介入术后患者发生心血管事件的预测价值[J].临床心血管病杂志，2015，31（6）：601-603.
[24] 叶学群，聂磊.超声心动图结合动态心电图诊断冠心病合并心力衰竭的价值[J].昆明医科大学学报，2017，38（2）：95-98.
[25] 胥军，吴建中，姜海燕，等.冠心病患者心率变异性与冠状动脉病变狭窄范围及严重程度的关系研究[J].现代生物医学进展，2019，19（9）：1679-1682.