慢性阻塞性肺病心电图改变的临床意义

Clinical significance of electrocardiogram changes of chronic obstructive pulmonary disease

目的研究探讨慢性阻塞性肺病(chronic obstructive pulmonary disease,COPD)的心电图表现以及相关的临床意义。方法回顾性分析2006年4月至2010年10月在我院住院诊断为COPD患者的住院病历资料60例,男30例,女30例。心电图结果均为专业心电图医师对标准十二导联心电图进行的分析诊断,将不同心电图表现进行比较。结果 18例为前间壁心肌梗死,其中男12例,女6例。3例为非梗死性Q波,5例为不完全性右束支阻滞,4例为完全性右束支阻滞,窦性心动过速10例,肺型P波6例,ST-T改变5例,房性期前收缩6例,室性期前收缩3例。结论 COPD患者易并发前间壁心肌梗死,且男性患者发病率多于女性。

Objective To study the electrocardiogram performance and clinical significance of chronic obstructive pulmonary disease （COPD）. Methods A retrospective analysis was used for 60 pa- tients with chronic obstructive pulmonary disease in our hospital from April of 2006 to October of 2010, among which 30 males and 30 females. Standard 12 lead ECG electrocardiograms were analyzed and com- pared. Results Eighteen cases of anteroseptal myocardial infarction were found, including male 12 ca- ses, female 6 cases, while the other cases including 3 cases of non Q wave infarction, 5 cases of incom- plete right bundle branch block, 4 cases of complete right bundle branch block, sinus tachycardia, heartbeat in 10 cases, 6 cases of pulmonary P wave, ST-T change in 5 patients, atrial beats in 6 cases, 3 cases of ventricular premature beat. Conclusion The patients with chronic obstructive pulmonary disease are easy to intercurrent with anterior wall myocardial infarction, and the morbidity of male is high than women.