溶栓后早期T波倒置对闭塞冠状动脉再通的诊断价值

Diagnostic value for patency of infarct-related coronary artery by earlier T-wave inversion after thrombolysis

目的 :探讨溶栓后早期T波倒置对闭塞冠状动脉再通的诊断价值。方法 :对 3 7例AMI接受溶栓治疗的患者分为 2 4h内T波倒置组和未倒置组 ,依据临床间接血管再通标准观察两组再通情况。结果 :①两组血管再通率分别为 95 %和 2 2 % (P <0 .0 1) ;②溶栓后早期T波倒置预示冠脉再通的敏感性、特异性和诊断价值分别为95 % ,78%和 82 %。结论

OBJECTIVE: To evaluate the diagnostic value for patency of infarct-related coronary artery by earlier T-wave inversion after thrombolysis.METHODS: 37 cases receiving thrombolysis were divided into two groups: the one with T-wave inversion within 24 hours, the patency rate of infarct-related coronary artery were assessed by uniform clinical criteria. RESULTS: The patency rate of two groups was 95% and 22% respectively, showing significant difference (P<0.01). CONCLUSION: Earlier T-wave inversion after thrombolysis is a effective criteria for patency of infarct-related coronary artery.