摘要
目的通过鉴别24h动态心电图中ST段抬高,探讨其临床意义。方法抽取111例ST段抬高患者动态心电图,分别按照心绞痛、Brugada波、急性心包炎和早期复极变异4组进行分析。结果心绞痛组ST段抬高与患者发作的症状、时间有关;心包炎组普遍导联持续抬高;其余2组虽然ST段抬高具有动态改变,与发作症状不同步,但与同一患者动、静状态有关。结论结合患者当时临床症状和动、静状态,ST段是否持续抬高及其形态、分布导联是动态心电图鉴别ST段抬高性质的关键。
Objective To explore the clinical value of ST segment elevation in 24-hour ambulatory electrocardiogram(AECG). Methods A total of 111 cases with ST segment elevation were divided into four groups,that is, angina group,Brugada wave group,pericarditis group and early repolarization variability group. The dynamic electrocardiogram were compared between four groups.Results In angina group,ST segment elevation was associated with patients onset of symptoms and attack time;In pericarditis group,all leads were continuously elevated. Although the ST segment elevation in remaining two groups had dynamic changes and was not synchronous with the onset of symptoms,it was associated with the dynamic and static state of patients per se.Conclusion Combined with the clinical symptoms and patients dynamic and static state, ST segment elevation and form,distribution lead is the key factor of identifying the nature of ST segment elevation in AECG.
出处
《江苏实用心电学杂志》
2013年第2期580-583,共4页
Journal of Practical Electrocardiology JS
关键词
动态心电图
ST段
导联
症状
动、静状态
ambulatory electrocardiogram
ST segment
lead
symptoms
dynamic and static state
