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影响非器质性心脏病患者心电图ST段压低的因素分析
作者:肖美娟1  杨丽2  付宇3  曹祥熙4 
单位:1. 十堰市人民医院/湖北医药学院附属人民医院 心脏病中心, 湖北 十堰 442000;
2. 十堰市人民医院/湖北医药学院 附属人民医院 放射影像中心, 湖北 十堰 442000;
3. 十堰市人民医院/湖北医药学院附属人民医院 儿童医疗中心, 湖北 十堰 442000;
4. 郧西县人民医院 超声
关键词:非器质性心脏病 心电图 ST段压低 心律失常 影响因素 
分类号:R540.41
出版年·卷·期(页码):2020·39·第六期(736-740)
摘要:

目的: 探讨影响非器质性心脏病患者心电图ST段压低的因素。方法: 采用回顾性研究方法,选择2016年8月至2018年2月在我院诊治的非器质性心脏病患者89例作为研究对象,所有患者都给予心电图检查,记录ST段压低与心律失常情况,调查影响ST段压低的相关因素。结果: 在89例患者中,心电图显示ST段压低29例,发生率为32.6%。ST段压低组的房性早剥、心动过速、心房扑动、心房颤动的发生率显著高于ST-T段正常组(P<0.05)。ST段压低组的性别、年龄、收缩压、舒张压、LA、LV、LVPW、HDL-C、TG与ST-T段正常组比较差异无统计学意义(P>0.05),两组的心率、LDL-C、TC、LVEF、LVS等比较差异有统计学意义(P<0.05)。Spearman相关性分析显示,ST段压低与心率、LDL-C、TC、LVEF、LVS都呈显著相关(P<0.05)。Logistic回归分析显示,心率、TC、LVEF、LVS为影响非器质性心脏病患者心电图ST段压低的危险因素(P<0.05)。结论: 非器质性心脏病患者心电图ST段压低比较常见,可增加患者心律失常发生几率,主要的影响因素包括心率、TC、LVEF、LVS等。

Objective: To investigatethe factors affecting electrocardiogram ST segment depression in patients with non-organic heart disease.Methods: A retrospective study wask, from August 2016 to February 2018, 89 patients with non-organic heart disease who were treated in a certain hospital were selected as subjects. All patients were given electrocardiogram, ST segment depression and arrhythmia were recorded, and the factors affecting ST segment depression were investigated.Results: The electrocardiogram showed 29 patients of ST segment depression with an abnormal rate were 32.6% in the 89 patients. The incidences of atrial premature detachment, tachycardia, atrial flutter, and atrial fibrillation in patients with ST segment depression were significantly higher than those in ST-T normal patients (P<0.05). There were no significant differences in gender, age, systolic blood pressure, diastolic blood pressure, LA, LV, LVPW, HDL-C, TG compared between two groups(P>0.05). There were significantly difference of LDL-C, TC, LVEF and LVS between two groups(P<0.05). Spearman correlation analysis showed that ST segment depressions were significantly correlated with heart rate, LDL-C, TC, LVEF, and LVS (P<0.05). Logistic regression analysis showed that heart rate, TC, LVEF and LVS were risk factors for ECG ST segment depression in patients with non-organic heart disease (P<0.05).Conclusion: The electrocardiogram ST segment depression in patients with non-organic heart disease is more common, which can increase the incidence of arrhythmia in patients, the main affecting factors include heart rate, TC, LVEF, LVS et al.

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