早期复极综合征心电图变化以及临床鉴别方法

Electrocardiogram Changes and Clinical Identification of Early Repolarization Syndrome

目的分析早期复极综合征心电图变化特点及临床鉴别方法,为临床鉴别提供有利依据。方法研究对象为100例早期复极综合征患者,分析心电图变化。结果患者100例均为窦性心律、心律46~80次/分钟,无杂音、心音强、患者两肺未出现干湿啰音,平静心电图特点为患者ST段导联向下抬高0.1~0.4mV,主要表现在胸前导联、Ⅲ、Ⅱ,以V2直至V4较为明显,其伴有对称T波,无ST-T动态衍变。结论早期复极综合征以男性较为常见,由于胸痛为首发症状,常被误诊为心包炎、心绞痛、急性心肌梗死,应结合心电图动态进行鉴别。

Objective To analyze the characteristics of early repolarization syndrome electrocardiogram changes and clinical identification methods, so as to provide a favorable basis for clinical identification. Methods The subjects of this study were 100 patients with early repolarization syndrome, analyze the electrocardiogram changes. Results 100 patients were sinus rhythm, heart rhythm 46 ~ 80 times / minute, no noise, strong heart sounds, patients did not appear dry and wet voice with lungs, calm ECG features the patient ST segment lead down 0.1 ~ 0.4mV. It is mainly manifested in the chest lead,Ⅲ,Ⅱ and is more obvious from V2 to V4, which is accompanied by symmetric T waves and no ST-T dynamic evolution. Conclusion Early repolarization syndrome is more common in men. As chest pain is the first symptom, it is often misdiagnosed as pericarditis, angina pectoris and acute myocardial infarction. It should be combined with ECG dynamics to identify.