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冠心病左室节段功能障碍与心电图改变的关系(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1996年第2期
页码:
69-72
栏目:
论著
出版日期:
1996-03-01

文章信息/Info

Title:
Relationship between regional left ventricular dysfunction and electrocardiographic abnormality in coronary artery disease
作者:
冯全洲1　李元新1　陆振刚2
1解放军153中心医院心内科　郑州　450065　2第一军医大学南方医院
Author(s):
Feng Quanzhou1;  Li Yuanxin1;  Lu Zhengang2
1Cardiac Department,Hospital 153 of Chinese PLA,Zhengzhou 450065 2Nanfang Hospital,First Military Medical University
关键词:
冠状动脉疾病;  心室功能;  节段功能;  心电描记术;  心血管造影术
Keywords:
coronary artery disease;  cardiac function;  regional left ventricular function; electrocardiography;  angiocardiography
分类号:
-
DOI:
-
文献标识码:
-
摘要:
作者对44例冠心病患者进行左室电影造影节段功能测定,并与心电图的改变进行比较。结果:左室节段功能和心电图均异常, 心组为100% (20/20),心绞痛组为79% (19/24) , 两组差异显著(P<0.05);节段功能障碍和心电图异常对心脏受损定位的符合率为94.9% (37/39)。结果表明: 左室节段功能和心电图检查对冠心病心脏受损的定位诊断是可靠的; 左室节段功能和心电图均异常, 提示心肌缺血已造成明确的损害。
Abstract:
Regional left ventricular function(RLVF) wasexamined by means of leftventricular cineangiocardiography in 44 cases of coronary artery disease, and compared with the electrocardiogram (ECG).The results showed that the positive rate of both the RLVF and the ECG abnormality was 100% (20/20) in myocardial infarction group,79% ( 19/24) in angina pectoris group; there was significant difference between the two groups(P<0.05).The coincidence rate between the RLVF and the ECG abnormality for location of cardiac lesion was 94.9% (37/39).It was concluded that RLVF and ECG were reliable for location diagnosis of cardiac lesion in coronary artery disease.The abnormality of both the RLVF and the ECG suggests that cardiac ischemia resu lted in definite myocardial lesion.

参考文献/References

［1］Sabia P, Afrookteh A,Touchstone DA,et al. Value of regional wall motion abnormality in the emergency room diagnosis of acute myocardial infarction.Circulation 1991; 84 (SupplⅠ):1285.

［2］Armstrong WF, O ′Donnell J, Dillon JC, et al.Com-plementary value of two-dimensional exercise echocardiography to rout ine treadmill exercise testing.AnnIntern Med 1986; 105: 829.

［3］冯全洲, 陆振刚, 刘伊丽, .X线电影造影测定冠心病左室节段功能分段方法的研究.中国循环杂志 1993; 8: 260.

［4］冯全洲, 陆振刚, 刘伊丽, 等.X线电影造影正常人左室节段功能.心功能杂志 1994; 6: 4.

［5］Penco M , Romano S, Agati L,et al.Influence of reperfusion induced by thrombolyic treatment on natural history of left ventricular regional wall motion abnormality in acute myocardial infarction.Am J Cardiol 1993; 71: 1015.

［6］Sharma B, Wyeth RP, Gimenez HJ , et al.Intracoronary prostaglandin E1 plus streptokinase in acute myocardial infarction.A m J Cardiol 1986; 58: 1161.

［7］Schofer J , Buttner J , Geng G, et al.Prehospital thrombolysis in acute myocardial infarction.Am J Cardiol 1990 ; 66: 1429.

［8］Tanabe Y, Matsuoka A , Okabe M , et al.Prediction of preserved flow to the infarct area based on admission electrocardiogram in anterior wall acute myocardial infarction.Am J Cardiol 1990; 65: 1416.

备注/Memo

备注/Memo:
Received 1995-08-01；revised 1995-11-20
更新日期/Last Update: 1996-03-01