期刊文献+

碎裂QRS波与病理性Q波诊断陈旧性心肌梗死的对比性研究 被引量:3

A Comparative Study of Diagnosing Old Myocardial Infarct with Fragmented QRS Wave and Pathologic Q Wave
下载PDF
导出
摘要 目的研究心电图无创新指标:碎裂QRS波(fQRS)诊断陈旧性心肌梗死的价值。方法选择陈旧性心肌梗死患者287例,按碎裂QRS波、病理性Q波、碎裂QRS波和(或)病理性Q波进行分组。分析碎裂QRS波群与陈旧性心肌梗死的关系及其诊断价值。结果碎裂QRS波群在陈旧性心肌梗死中的发生率、敏感性均高于病理性Q波。结论新的无创心电图指标碎裂QRS波群对陈旧性心肌梗死的诊断具有重要价值,对临床有重要的指导意义。 Objective To study the new index of noninvasive electrocardiogram,i.e.,the value of fragmented QRS(fQRS) wave in diagnosing old myocardial infarction.Methods 287 patients with old myocardial infarction were chosen and grouped according to fragmented QRS wave,pathologic Q wave,fragmented QRS wave and(or) pathologic Q wave.The relationship between fragmented QRS complex and old myocardial infarction and its diagnostic value are analyzed.Results In diagnosing old myocardial infarction,fragmented QRS complex is higher than that of pathologic Q wave in terms of the incidence rate and sensitivity.Conclusion Fragmented QRS wave,the new noninvasive electrocardiogram index,is of great value to diagnose old myocardial infarction,and it is of great instructive significance in clinical practice.
作者 周长勇 李洁
出处 《中国实用医药》 2013年第3期30-31,共2页 China Practical Medicine
关键词 碎裂QRS波群 陈旧性心肌梗死 病理性Q波 Fragmented QRS complex Old myocardial infarction Pathologic Q waves
  • 相关文献

参考文献2

二级参考文献12

  • 1Das M K,Khan B,Jacob S,et al.Significance of a fragmented QRS complex versus a Q wave in patients with coronary artery disease.Circulation,2006,113:2495-2501.
  • 2Flowers N C,Horan L G,Thomas J R,et al.The anatomic basis for high-frequency components in the electrocardiogram.Circulation,1969,39:531-539.
  • 3Gardner P I,Ursell P C,Fenoglio J J Jr,et al.Electrophysiologic and anatomic basis for fractionated electrograms recorded from healed myocardial infarcts.Circulation,1985,72:596-611.
  • 4Friedman B M,Dunn M I.Postinfarction ventricular aneurysms.Clin Cardiol,1995,18:505-511.
  • 5Das M K,Zipes D P.Fragmented QRS:a predictor of mortality and sudden cardiac death.Heart Rhythm.Mar,2009,6:S8-14.
  • 6Varriale P,Chryssos B E.The RSR' complex not related to right bundle branch block:diagnostic value as a sign of myocardial infarction scar.Am Heart J.,1992,123:369-376.
  • 7Michael M A,Das M K.Fragmented QRS on 12-lead ECG predicts arrhythmic event and mortality in patient with non-ischemic cardiomyopathy.Heart Rhythm,2006,3:S103-S104.
  • 8Maskoun W,Homsi M,Mahenthiran J,et al.Fragmented QRScomplexes on 12-lead ECG,predicts arrhythmia events in patient with ischemic cardiomyopathy.J Am Coll Cardiol,2007,49:30A-30A.
  • 9Maron B J,Towbin J A,Thiene G,et al.Contemporary definitions and classification of the cardiomyopathies:an American Heart Association Scientific Statement from the Council on Clinical Cardiology,Heart Failure and Transplantation Committee; Quality of Care and Outcomes Research and Functional Genomics and Translational Biology Interdisciplinary Working Groups; and Council on Epidemiology and Prevention.Circulation,2006,113:1807-1816.
  • 10Peters S,Trummel M,Koehler B.QRS fragmentation in standard ECG as a diagnostic marker of arrhythmogenic right ventricular dysplasia-cardiomyopathy.Heart Rhythm,2008,5:1417-1421.

共引文献160

同被引文献31

  • 1马婧,范咏梅,肖春霞.碎裂QRS波在心肌梗死中的研究[J].江苏实用心电学杂志,2013,22(6):888-892. 被引量:13
  • 2Furman MI,Dauerman HL,Goldberg RJ,et al.Twenty-two year(1975to 1997)trends in the incidence,in-hospital and long-term case fatality rates from initial Q-wave and nonQ-wave myocardial infarction:a multi-hospital,communitywide perspective[J].J Am Coll Cardiol,2011,37(2):1571-1580.
  • 3Das MK,Khan B,Jacob S,et al.Significance of a fragmented QRS complex versus a Q wave in patients with coronary artery disease[J].Circulation,2015,122(21):2495-2501.
  • 4Robles P,Sonlleva A.Myocardial calcification and subendocardial fatty replacement of the left ventricle following myocardial infarction[J].Int J Cardiovasc Inaging,2015,32(5):667-670.
  • 5Gardner PI,Ursell PC,Fenoglio JJ Jr,et al.Electrophysiologic and anatomic basis for fractionated electrograms recorded from healed myocardial infarcts[J].Circulation,2014,101(11):596-611.
  • 6Friedman BM,Dunn MI.Postinfarction ventricular aneurysms[J].Clin Cardiol,2015,38(4):505-511.
  • 7Michael MA,El Masry H,Khan BR,et al.Electrocardiographic signs of remote myocardial infarction[J].Prog Cardiovasc Dis,2014,57(6):198-208.
  • 8郭继鸿.碎裂QRS波[J].临床心电学杂志,2008,17(1):60-68. 被引量:159
  • 9王崑,郑刚,王静,张善春.急性心肌梗死后心电图QRS碎裂与患者预后关系的研究[J].中国医药导刊,2008,10(3):336-337. 被引量:4
  • 10梁芳,张伟,古萍,谭念玲,沈春莲.AMI患者心电图碎裂QRS波发生情况与梗死部位及严重心律失常的关系[J].山东医药,2011,51(23):10-12. 被引量:23

引证文献3

二级引证文献16

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部