摘要
急性肺栓塞是临床较为常见的一种急性心血管疾病,其可引起呼吸、循环衰竭,患者预后较差,是心血管疾病中常见的死亡原因之一。心电图检查具有简便、快捷、费用低等特点,是临床上最常见的检查。近年来,许多研究显示心电图不仅对急性肺栓塞有诊断价值,同时在评估患者预后方面也有一定价值。患者心电图出现aVR导联ST段抬高、V2~V4导联T波倒置、右束支传导阻滞、窦性心动过速、S_(1)Q_(3)T_(3)型、碎裂性QRS波群动态变化、较低的V5导联S波深度及心房颤动等异常可预测其死亡结局及住院时长。
Acute pulmonary embolism is a common acute cardiovascular disease in clinical practice.It can lead to respiratory and circulatory failure,with a poor prognosis for patients,and is one of the common causes of death in cardiovascular diseases.Electrocardiography(ECG)is a simple,fast,and low-cost examination,making it one of the most commonly used test in clinical settings.In recent years,numerous studies have shown that ECG not only has diagnostic value for acute pulmonary embolism but also provides certain prognostic value for assessing patient outcomes.Abnormalities such as ST segment elevation in lead aVR,T wave inversion in leads V2-V4,right bundle branch block,sinus tachycardia,S_(1)Q_(3)T_(3) pattern,fragmented QRS complex dynamics,a lower depth of the S wave in lead V5,and atrial fibrillation on the ECG can predict mortality outcomes and length of hospital stay.
作者
黎睿
海冰
LI Rui;HAI Bing(Department of Respiratory and Critical Care Medicine,The Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650101,China)
出处
《中国临床研究》
2025年第2期178-181,共4页
Chinese Journal of Clinical Research
基金
云南省科技厅-昆明医科大学基础研究联合专项(202201AY070001-114)。
关键词
急性肺栓塞
心电图
右束支传导阻滞
T波倒置
预后
Acute pulmonary embolism
Electrocardiogram
Right bundle branch block
T wave inversion
Prognosis
作者简介
通信作者:海冰,E-mail:1910645481@qq.com。
