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电图平面QRS-T夹角、CRP水平与急性心梗并发心律失常的关系研究 被引量:3

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摘要 目的 分析电图平面QRS-T夹角变化、C反应蛋白(CRP)水平与急性心梗患者发生恶性心律失常的相关性。方法选取收治的80例急性心梗患者,均在治疗后对比ORS-T夹角大小,将患者分为研究组(QRS-T>90°,24例)、对照组(QRS-T≤90°,56例),分别对两组患者进行动态心电、心脏彩超检查,之后以药物进行治疗,对比患者恶性心律失常发生情况、CRP水平、住院期间心血管不良事件发生率,分析QRS-T夹角变化、CRP水平与急性心梗患者恶性心律失常发生率的相关性。结果 两组性别、是否有吸烟史、是否具有高脂血症对比无显著差异性(P>0.05);组间年龄、高血压病史、左心室射血分数、恶性心律失常发生率、CRP水平对比差异显著(P<0.05)。急性心肌梗死患者治疗后平面QRS-T夹角>90°、CRP水平≥13mg/L是导致恶性心律失常发生的独立危险性因素。研究组术后半年内发生心血管不良事件4例,占16.67%;对照组术后半年内发生心血管不良事件1例,占1.79%,组间对比,差异有统计学意义(校正χ^(2)=3.962,P=0.047)。结论 心电图平面QRS-T夹角>90°、CRP水平≥13mg/L是导致急性心梗患者术后发生恶性心律失常的危险因素,且QRS-T夹角检查能在临床进行重复测量,值得推广。
出处 《现代诊断与治疗》 CAS 2022年第21期3253-3255,共3页 Modern Diagnosis and Treatment
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