体表心电图对心肌梗死瘢痕的诊断价值

The value of electrocardiography in the diagnosis of myocardial infarction related scar

急性心肌梗死(简称急性心梗)是一种严重威胁人类生命的心血管急重症,尽管近年来溶栓治疗、经皮冠状动脉介入治疗及冠状动脉旁路移植术飞速发展,急性心梗仍为目前致死致残的主要原因之一。研究显示心梗后心肌瘢痕形成是增加主要心血管不良事件(简称MACE事件)发生的重要危险因素,直接影响患者的远期预后。故对于急性心梗患者,及早识别瘢痕程度及评估预后,采取有效的干预治疗措施,对于改善患者预后、减少MACE事件发生尤为重要。

Acute myocardial infarction(AMI) is a serious cardiovascular disease threatening human life.Despite the rapid development of thrombolytic therapy, percutaneous coronary intervention and coronary artery bypass grafting in recent years, AMI is still one of the main causes of death and disability. Studies have shown that cardiac scar formation after myocardial infarction is an important risk factor for the occurrence of major adverse cardiovascular events(MACE), which directly affects the long-term prognosis of patients. Therefore, for patients with AMI, it is particularly important to identify the degree of scar, evaluate the prognosis and take effective intervention measures to improve the prognosis of patients and reduce the occurrence of MACE.