AMI并发室性心动过速患者Tp-Te变化分析

Analysis of TP-Te Changes in Patients With AMI Complicated With Ventricular Tachycardia

目的分析AMI(急性心肌梗死)并发室性心动过速患者Tp-Te(T波峰末间期)变化。方法纳入病例是2016年1月—2019年10月本院收治的204例AMI患者,根据患者是否发生并发室性心动过速分组,将发生并发室性心动过速的100例患者作为实验组,将未发生并发室性心动过速的104例患者作为参照组,两组患者在入院12 h内均接受PCI(经皮冠状动脉介入术)治疗,均在术前以及术后7 d进行心电图检查,对比两组Tp-Te间期,对比AMI并发室性心动过速患者急性期、恢复期Tp-Te间期。结果实验组Tp-Te间期明显高于参照组,AMI并发室性心动过速患者急性期Tp-Te间期明显高于恢复期,差异均具有统计学意义(P<0.05)。结论AMI并发室性心动过速患者心电图诊断中Tp-Te间期监测,对疾病判断、病情评估具有重要意义。

Objective To analyze the changes of TPTe(T-wave peak to end interval)in patients with AMI(acute myocardial infarction)complicated with ventricular tachycardia.Methods 204 AMI patients were admitted to our hospital from January 2016 to October 2019.According to whether or not the patients had complicated ventricular tachycardia,100 patients with complicated ventricular tachycardia were divided into experimental group and 104 patients without complicated ventricular tachycardia were taken as reference group.Both groups were received PCI(percutaneous coronary intervention)within 12 hours ECG examination was carried out after admission before the operation and 7 days after the operation,to compare the TP-Te interval between the two groups,and the acute and convalescent TP-Te interval between AMI patients with ventricular tachycardia.Results The TP-Te interval in the experimental group was significantly higher than that in the reference group,and that in the AMI patients with ventricular tachycardia in the acute phase was significantly higher than that in the convalescent phase(P<0.05).Conclusion The monitoring of TP-Te interval in ECG diagnosis of AMI complicated with ventricular tachycardia is of great significance for disease judgment and condition evaluation.