冠状动脉疾病

ANNNONINVASELECTRO


北京治疗白癜风的好医院 http://m.39.net/pf/bdfyy/bjzkbdfyy/
EarlyrepolarizationpatternassociatedwithcoronaryarterydiseaseandincreasedtheriskofcardiacdeathinacutemyocardiuminfarctionANNNONINVASELECTROArticleEarlyRecent,May04,./anec.本文由“天纳”临床学术信息人工智能系统自动翻译点击文末“阅读原文”下载本文PDFBackgroundEarlyrepolarizationpattern(ERP)wasassociatedwithsuddencardiacdeathinrecentstudies.However,theassociationsbetweenERPandcoronaryarterydisease(CAD),andERPandcardiacdeathcausedbyacutemyocardialinfarction(MI)remainsunclear.在最近的研究中,早期复极模式(ERP)与心源性猝死相关。然而,ERP与冠状动脉疾病(CAD)以及ERP与急性心肌梗死(MI)所致心脏死亡之间的关系尚不清楚。MethodsWeretrospectivelyenrolledconsecutive1,CADpatientsandnon‐CADsubjectsascontrolgroupwhichwereconfirmedbycoronaryangiograph.TheCADpatientsincludestableCAD,acuteMIpatients,andoldMIpatients.MultivariatelogisticregressionwasemployedtoevaluatetherelationshipbetweenERPandCAD,andERPandcardiacdeathcausedbyacuteMI.我们回顾性研究了1名冠心病患者和名非冠心病患者作为对照组,经冠状动脉造影证实。冠心病患者包括稳定型冠心病患者、急性心肌梗死患者和老年心肌梗死患者。采用多元logistic回归分析ERP与CAD、ERP与急性心肌梗死心源性死亡的关系。ResultsOfthe1,CADsubjects,therewere1,stableCADpatients,acuteMIpatients,andoldMIpatients.TheincidenceofERPwasmuchhigheramongpatientswithCADthanwithoutCADsubjects(20.1%vs.6.2%,p??.)afteradjustingformajorcardiovascularriskfactors.NosignificantcorrelationwasobservedbetweenleadregionofERPon12‐leadECGandsingleabnormalartery.OftheacuteMIpatients,patientssurvivedand62patientsdied.IncidenceofERPwashigherinnon‐survivorthansurvivorpatientswithacuteMI(24.2%vs.17.5%,p?=?.)afteradjustmentformajorcardiovascularriskfactors.1例冠心病患者中,稳定型冠心病1例,急性心肌梗死例,老年心肌梗死例。校正主要心血管危险因素后,冠心病患者的ERP发生率远高于非冠心病患者(20.1%对6.2%,p0.)。12导联心电图ERP导联区与单支异常动脉无明显相关性。例急性心肌梗死患者中,例存活,62例死亡。校正主要心血管危险因素后,非存活患者的ERP发生率高于急性心肌梗死患者(24.2%对17.5%,p=0.)。ConclusionTheincidenceofERPwashigherinCADpatientsthansubjectswithoutCADandinnon‐survivorpatientsthansurvivorpatientswithacuteMI.TheleadregionofERPon12‐leadECGwasnotassociatedwithsingleabnormalcoronaryartery.冠心病患者的ERP发生率高于非冠心病患者,非存活患者的ERP发生率高于存活急性心肌梗死患者。12导联心电图ERP导联区与单支冠状动脉异常无关。1INTRODUCTIONEarlyrepolarizationpattern(ERP),whichischaracterizedbytheslurringornotchingJwaveattheendQRS


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