急性心肌梗死患者焦虑情绪对心电图的影响分析

Anxiety in patients with acute myocardial infarction impact analysis of electrocardiogram

目的探讨急性心肌梗死患者焦虑情绪对心电图的影响。方法病例来源于我院于2013年5月-2014年6月收治的急性心肌梗死伴有焦虑症患者60例为观察组,选取急性心肌梗死不伴有焦虑症患者60例为对照组,采用SAS量表评价其焦虑程度,并对其临床表现和心电图进行分析,研究二者的相关性。结果两组患者心电图分析结果显示,观察组患者的室颤、房性早搏、室性早搏、短阵房性心动过速,以及房室传导阻滞检出率均显著高于对照组,差异具有统计学意义。（χ2=9.75、19.22、9.85、4.18、3.33,P〈0.05）结论急性心肌梗死患者焦虑情绪与室颤、房性早搏、室性早搏、短阵房性心动过速,以及房室传导阻滞密切相关,可将心电图评估作为临床治疗时的检测指标。

Objective to study the anxiety in patients with acute myocardial infarction impact on electrocardiogram（ ecg）. Methods from t May 2013 to June 2014,chose 60 patients with acute myocardial infarction associated with anxiety as the observation group,select 60 patients with acute myocardial infarction i not accompanied by anxiety as the control group,using SAS scale to evaluate the degree of anxiety,and to analyze its clinical symptoms and electrocardiogram,study the relativity between the two. Results two groups patients ecg analysis,according to the results,observation group of patients with ventricular fibrillation,room premature beat,ventricular premature beat,short array room tachycardia,and atrioventricular block detection rate were significantly higher than that of control group,the difference is statistically significant.（ χ2= 9. 75、19. 22、9. 85、4. 18、3. 33,P0. 05）Conclusion Anxiety in patients with acute myocardial infarction is closely related to ventricular fibrillation,room premature beat,ventricular premature beat,short array room tachycardia and atrioventricular block. Ecg assessment can be use as a testing index of clinical treatment.