心电图对心脏性猝死的预警价值

Value of Electrocardiogram in the Early Warning of Sudden Cardiac Death

目的分析心电图对心脏性猝死(SCD)的预警价值。方法以寿光市中医医院在2015年6月—2018年6月间纳入治疗的30例SCD死亡患者为A组研究主体。选择同期纳入治疗的30例SCD治愈患者为B组研究主体。均接受心电图监护,分析心电图数据对SCD的预警价值。结果 A组的心律失常发生率为86.67%,B组为63.33%,对比差异有统计学意义(χ~2=4.356,P=0.037)。A组的传导阻滞发生率为36.67%,B组为10.00%,对比差异有统计学意义(χ~2=5.963,P=0.015)。A组的心肌缺血发生率为83.33%,B组为36.67%,对比差异有统计学意义(χ~2=13.611,P=0.000)。结论回顾性分析SCD患者的心电图资料发现,患者出现明显的心脏异常活动,因此可将心电图作为SCD的预警手段之一,以降低SCD患者的死亡率。

Objective To analyze the value of electrocardiogram in the early warning of sudden cardiac death.Methods 30 cases of SCD death patients treated in Shouguang Hospital of TCM from June 2015 to June 2018 were selected the research objects,and 30 cases of SCD patients at the same period were selected as the group B,and all patients received the electrocardiogram monitoring,and the early warning value of electrocardiogram in the SCD was analyzed.Results The incidence rate of arrhythmia in the group A and in the group B was respectively 86.67%and 63.33%,and the difference was statistically significant(χ^2=4.356,P=0.037),and the incidence rate of conduction block in the group A and in the group B was respectively 36.67%and 10.00%,and the difference was statistically significant(χ^2=5.963,P=0.015),and the incidence rate of myocardial ischemia in the group A and in the group B was respectively 83.33%and 36.67%,and the difference was statistically significant(χ^2=13.611,P=0.000).Conclusion The retrospective analysis of electrocardiogram of SCD patients shows that there are obvious cardiac abnormal activities,therefore,the electrocardiogram can be used as one of the SCD early warning means,to reduce the morbidity of SCD patients.