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. |
[1] 刘冰,孙英贤.非器质性心脏病患者心电图ST-T异常的临床意义分析[J].中华心律失常学杂志,2017,21(6):505-508.
[2] ITO K,ABE Y,TAKAHASHI Y,et al.Mechanism of atrial functional mitral regurgitation in patients with atrial fibrillation:a study using three-dimensional transesophageal echocardiography[J].J Cardiol,2017,70(6):584-590.
[3] 韩方.动态心电图对监测室性心动过速分析及临床意义[J].中国急救复苏与灾害医学杂志,2017,12(7):643-645.
[4] MORTAZ E,ADCOCK I M,ABEDINI A,et al.The role of pattern recognition receptors in lung sarcoidosis[J].Eur J Pharmacol,2017,808:44-48.
[5] 陈欧阳,谭忠友,何扬帆,等.心率变异性分析在儿童Ⅰ度房室传导阻滞诊断中的应用[J].重庆医学,2016,45(26):3713-3715.
[6] GVÇYETMEZ B,ATALAN H K,ALOGLU H,et al.Nocturnal hypoxia and the success rate of standard atrial fibrillation treatment:a case report[J].J Med Case Rep,2015,6(9):133-136.
[7] 陆青洋,卢喜烈,谭学瑞,等.不完全性右束支合并左前分支阻滞患者与单纯左前分支阻滞患者在器质性心脏病中的临床意义[J].中华保健医学杂志,2015,17(3):188-192.
[8] PEREL-WINKLER A,BOKHARI S,PEREZ-RECIO T,et al.Myocarditis in systemic lupus erythematosus diagnosed by (18)F-fluorodeoxyglucose positron emission tomography[J].Lupus Sci Med,2018,5(1):265-268.
[9] 韩玉芬,庞素念,尹杰.不同年龄成人的ST-T改变分析[J].临床心电学杂志,2013,22(2):116-118.
[10] VAINSHELBOIM B,DOBIN G,MYERS J,et al.Safety of exertional desaturation in idiopathic pulmonary fibrosis:An electrocardiography study[J].Clin Respir J,2018,12(9):2426-2432.
[11] 修明文,郭乐凌,何淼.STEMI冠状动脉介入后Tp-ec及QTc与恶性心律失常的相关性[J].临床误诊误治,2014,27(7):109-113.
[12] WARPECHOWSKI NETO S,LEIRIA T L L,LEY L L G,et al.Cohort of patients referred for brugada syndrome investigation in an electrophysiology service-19-year registry[J].Arq Bras Cardiol,2018,111(1):13-18.
[13] 韩方.动态心电图对监测室性心动过速分析及临床意义[J].中国急救复苏与灾害医学杂志,2017,12(7):643-645.
[14] KANG J G,CHANG Y,SUNG K C,et al.Association of isolated minor nonspecific ST-T abnormalities with left ventricular hypertrophy and diastolic dysfunction[J].Sci Rep,2018,8(1):8791-8793.
[15] 季建国,邹建刚,何国平,等.非器质性心脏病的心脏变时功能不良和交感神经功能关系的探讨[J].中华心律失常学杂志,2014,18(5):360-364.
[16] CONN N J,SCHWARZ K Q,BORKHOLDER D A.Nontraditional electrocardiogram and algorithms for inconspicuous in-home monitoring:comparative study[J].JMIR Mhealth Uhealth,2018,6(5):120-123.
[17] 陈紫凡,王枫艳,杨易辰,等.年龄对非器质性心脏病人群心率减速力的影响[J].心电与循环,2017,36(3):161-163.
[18] RUIZ PIZARRO V,PALACIOS-RUBIO J,COBOS-GIL M Á.Letter to the editor:is "triangular QRS-ST-T waveform" a left main total occlusion marker?[J].J Electrocardiol,2018,51(3):378-381.
[19] 刘冰.运动心电图和动态心电图对器质性心脏病室性早搏的诊断价值[J].心血管康复医学杂志,2017,26(5):542-546.
[20] ISHIKAWA J,HIROSE H,SCHWARTZ J E,et al.Minor electrocardiographic ST-T change and risk of stroke in the general japanese population[J].Circ J,2018,82(7):1797-1804.
[21] 魏薇,薛玉梅,詹贤章,等.室性心律失常住院患者的横断面调查[J].中华心律失常学杂志,2017,21(3):242-245.
[22] COSTIN N I,KORACH A,LOOR G,et al.Patients with type A acute aortic dissection presenting with an abnormal electrocardiogram[J].Ann Thorac Surg,2018,105(1):92-99.
[23] 沈丽萍,熊望琼,徐春红.心房扑动伴交替性文氏现象的心电图与临床分析[J].实用心电学杂志,2016,25(3):204-206.
[24] ZHAO W,LU G,LIU L,et al.Detection of acute myocardial infarction in a pig model using the SAN-Atrial-AVN-His (SAAH) electrocardiogram (ECG),model PHS-A10,an automated and integrated signals recognition system[J].Med Sci Monit,2018,24:1303-1309.
[25] ITO T,AKAMATSU K,UKIMURA A,et al.The prevalence and findings of subclinical influenza-associated cardiac abnormalities among Japanese patients[J].Intern Med,2018,57(13):1819-1826. |