老年人急性脑卒中并发心肌梗死与假性心肌梗死的心电图分析(附200例报告)

Analysis of Electrocardiograph of Myocardial Infarction Complicated with the Elders Acute Cerebral Apoplexy and False Myocardial Infarction (Attached 200 Reports)

目的 :对比老年人急性脑卒中 (ACA)并发心肌梗死与假性心肌梗死心电图改变。方法 :回顾性分析 2 0 0例老年人急性脑卒中轻、重型患者的临床资料。结果 :重型组 84例并发急性心肌梗死 (AMI) 2 4例 ,占 2 8.6 % ,轻型组116例并发AMI 4例 ,占 3.4 % ,两组比较有显著性差异 (P <0 .0 0 5 ) ;重型组与轻型组假性AMI的心电图 (ECG)检出率比较有显著性差异 (P <0 .0 0 5 )。结论 :急性脑卒中并发AMI与假性AMI心电图鉴别诊断有一定的临床价值。

Objective: To compare the ECG changes of myocardial infarction that complicated with acute cerebral apoplexy(ACA)and false Myocardial Infarction.Methods:Two hundred patients with the elders acute cerebral apoplexy were divided into two groups:mild attack and serious attack groups.Results:There were 24(28.6%)patients with AMI in serious group of 84 patients,while in mild group(116 patients),there only 4(3.4%)got AMI( P <0.005).At the same time,the rates of false myocardial infarction were also different between the two groups ( P <0.005).Conclusion:It is useful to distinguish myocardial infarction complicated with acute cerebral apoplexy from false myocardial infarctio.