心电学技术及肌钙蛋白在评估急性心肌梗死患者梗死面积中的研究进展被引量：3

Research progress of electrocardiology technology and troponin in evaluating infarct area of acute myocardial infarction patients

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摘要急性心肌梗死是冠状动脉急性阻塞引起的心肌严重缺血和坏死,早期预测急性心肌梗死的梗死面积,对估计患者的病情和预后具有重要临床意义。心电图Selvester QRS记分法、QRS波终末变形可通过一份常规心电图获得,肌钙蛋白的测定亦简单易行,本文通过阐述三者在评估急性心肌梗死患者梗死面积中的研究进展,旨在为评估梗死面积寻找简单有效的方法。 Acute myocardial infarction refers to severe myocardial ischemia and myocardial nec- rosis caused by acute coronary artery occlusion. It has important clinical significance of evaluating patient＇ s condition and prognosis to predict the infarct area of acute myocardial infarction in an early phase. Selvester QRS scoring method and QRS complex terminal part deformation can be acquired by a copy of rountine ECG. The determination of troponin is also simple and easy to carry out. This paper is aimed to discover a simple and effective method of evaluating infarct area by reviewing the latest research progress of the above three methods in assessing the infarct area in acute myocardial infarction patients.

作者杨苏萍张琴覃晓波

机构地区广西壮族自治区人民医院心电诊断科

出处《实用心电学杂志》 2015年第5期371-373,380,共4页 Journal of Practical Electrocardiology

基金广西自然科学基金面上项目(2014GXNSFAA118274) 广西医疗卫生适宜技术研究与开发项目(桂卫S201314-02)

关键词梗死面积 Selvester QRS记分法 QRS波终末变形肌钙蛋白 infarct area Selvester QRS scoring method QRS complex terminal part deformation troponin

分类号 R540.41 [医药卫生—心血管疾病]

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参考文献24

1王燕慧,张灏.测量心肌梗死面积的方法学进展[J].国际内科学杂志,2009,36(9):516-519. 被引量：11
2Loring Z, Chelliah S, Selvester RH, et al. A detailed guide for quantification of myocardial scar with the Selvester QRS score in the presence of electrocardiogram confounders [ J ]. J Electrocardio1,2011,44(5 ) :544 - 554.
3Snellen HA. Quantitation in Cardiology [ M ]. Leiden:Lei- den University Press, 1971:31.
4Bono V, Mazomenos EB, Chen T,et al. Development of an automated updated Selvester QRS scoring system using SWT- based QRS fractionationdetection and classification [ J ]. IEEE J Biomed Health Inform,2014 ,18( 1 ) :193 -204.
5Rovers WC, van Boreen MC, Robinson M, et al. Compari- son of the correlation of the Selvester QRS scoring system with cardiac contrast-enhanced magnetic resonance ima- ging-measured acute myocardial infarct size in patients with and without thrombolytic therapy [ J ]. J Electrocardiol, 2009,42(2) : 139 - 144.
6Engblom H, Hedstrtim E, Heiberg E, et al. Size and transmu- ral extent of first-time reperfused myocardial infarction assessed by cardiac magnetic resonance can be estimated by 12-lead elect rocardiogram [ J ]. Am Heart J, 2005, 150 (5) :920.
7乌日娜,赵瑞平.采用生化指标及心电图评估急性心肌梗死患者预后的研究进展[J].内蒙古医学杂志,2009,41(11):1329-1332. 被引量：3
8Watanabe N, Isobe S, Okumura T, et al. Relationship be- tween QRS score and microvascular obstruction after acute anterior myocardial infarction[ J]. J Cardiol, 2015 Jul 7. [ Epub ahead of prinr].
9Vervaat FE, Bouwmeester S, van Hellemond IE et al. Consid- eration of QRS complex in addition to ST-segment abnormali- ties in the estimation of the "risk region" during acute ante-rior or inferior myocardial infarction [ J ]. J Electrocardiol, 2014,47 (4) :535 - 539.
10Barbagelata A, Di Carli MF, Califf RM, et al. Electrocar- diographic infarct size assessment after thrombolysis: in- sights from the Acute Myocardial Infarction STudy ADeno- sine (AMISTAD) trial[J]. Am Heart J,2005,150(4) : 659 - 665.

二级参考文献85

1史扬,范利,石怀银.同型半胱氨酸对KKAy小鼠心肌病变的影响[J].中华老年心脑血管病杂志,2004,6(5):332-334. 被引量：3
2马虹,黄战军,董吁钢,杜志民,黄慧,叶慧膺,廖晓星,胡承恒.心电图QRS记分与左室功能及冠状动脉病变关系的探讨[J].中国心脏起搏与心电生理杂志,1996,10(4):185-187. 被引量：2
3Gibbons R J, Valeti US, Araoz PA, et al. The quantification of infarct size. J Am Coll Cardiol,2004,44(8) :1533-1542.
4Takagawa J, Zhang Y, Wong ML, et al. Myocardial infarct size measurement in the mouse chronic infarction model: comparison of area and lengthbased approaches. J Appl Physiol, 2007,102 ( 6 ) : 2104 -2111.
5Fraccarollo D, Galuppo P, Bauersachs J, et al. Collagen accumulation after myocardial infarction:effects of ETA receptor blockade and implications for early remodeling. Cardiovasc Res ,2002,54( 3 ) :559-567.
6Collinson PO, Gaze DC. Biomarkers of cardiovascular damage and dysfunction-an overview. Heart Lung Circ, 2007, 16 ( Suppl 3 ) :S71-82.
7Steen H, Giannitsis E, Futterer S, et al. Cardiac troponin T at 96 hours after acute myocardial infarction correlates with infarct size and cardiac function. J Am Coll Cardiol, 2006, 48 ( 11 ) :2192-2194.
8Remppis A, Ehlermann P, Giannitsis E, et al. Cardiac troponin T levels at 96 hours reflect myocardial infarct size : a pathoanatomical study. Cardiology, 2000,93 (4) : 249 -253.
9Hindman NB, Schocken DD, Widmann M, et al. Evaluation of a QRS scoring system for estimating myocardial infarct size. Specificity and method of application of the complete system. Am J Cardiol,1985,55(13 Pt 1) :1485-1490.
10Gibbons RJ, Miller TD, Christian TF. Infarct size measured by single photon emission computed tomographic imaging with ^99mTc-sestamibi:A measure of the efficacy of therapy in acute myocardial infarction. Circulation,2000,101 ( 1 ) : 101 - 108.