早期复极综合征伴胸闷胸痛23例心电图分析

Analysis of early repolarization syndrome with electrocardiogram

目的探讨早期复极综合征(ERS)的心电图特点及鉴别方法。方法对23例早期复极综合征患者的临床资料及心电图表现进行回顾性分析。结果23例早期复极综合征患者中,男性20例,女性3例,男性明显多于女性,占86.96%,心电图示ST段抬高及T波高耸。平板运动试验(TET)中ST段可暂时下降至基线。结论ERS多见于青年男性,部分患者伴有心悸、胸闷、胸痛等症状,常被误诊为心绞痛等,故掌握ERS的心电图特点,结合动态心电图(DCG)及TET检查,可提高ERS的诊断率。

Objective To evaluate the characteristics of electrocardiogram （ECG） and differential diagnosis of early repolarization syndrome（ERS）. Methods ECG and clinical data of 23 patients with ERS were retrospectively analyzed. Results 20 patients（86.96%） were male and 3 female. ST segment elevation and high T wave were seen in ECG. ST segment could returned to baseline temporarily in Treadmill exercise test（TET）. Conclusion ERS is common in male. Some patients with palpitation, chest distress and precordial pain may be misdiagnosed as angina.