首页|ST段下移、ST-T改变与房性或室性早搏的相关性

ST段下移、ST-T改变与房性或室性早搏的相关性

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目的 探讨ST段下移、ST-T改变与房性早搏和室性早搏之间的关联性。方法 使用单因素及多因素Logistic回归分析,对临床心电图资料进行回顾性分析,研究ST段下移、ST-T改变与房性早搏、室性早搏之间的相关性。结果 通过对4 952例患者的心电图资料进行汇总分析,发现ST段下移和ST-T改变与房性早搏和室性早搏均存在显著相关性。ST段下移者发生房性早搏和室性早搏的概率分别是ST段未下移者的9。00倍和13。65倍;出现ST-T改变者发生房性早搏和室性早搏的概率分别是未出现者的27。60倍和22。00倍。经多因素Logistic回归分析同样发现,ST段下移达0。05 mV和ST-T改变是决定房性早搏和室性早搏发生的关键因素。结论 ST段下移、ST-T改变可能是房性早搏和室性早搏发生的危险因素。
Correlation between ST-segment depression,ST-T changes and atrial premature beats or premature ventricular contraction
Objective To explore the correlation between ST-segment depression,ST-T changes,and atrial premature beats(APB)or premature ventricular contraction(PVC).Methods By univariate and multivariate Logistic regression analysis,retrospective analysis was conducted on clinical ECG data to determine the relationship between ST-segment depression,ST-T changes,and APB or PVC.Results Analysis of the ECG data from 4 952 patients revealed a significant correlation of ST-segment depression and ST-T changes with APB and PVC.Among the patients with ST-segment depression,the incidences of APB and PVC separately increased to 9.00 and 13.65 times the incidences in the patients without ST-segment depression.Among the patients with ST-T changes,the incidences of APB and PVC separately increased to 27.60 and 22.00 times the incidences in the patients without ST-T changes.Multivariate Logistic regression analysis also found that ST-segment depression of up to 0.05 mV and ST-T changes were key factors influencing the occurrence of APB and PVC.Conclusion ST-segment depression and ST-T changes may serve as risk factors for the occurrence of APB and PVC.

ST-segment depressionST-T changeatrial premature beatspremature ventricular contractionelectrocardiogramcorrelation

李蓉、宋潇、赵瑞、王兵玲、马明仁

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730050 甘肃 兰州,中国人民解放军联勤保障部队第九四○医院心血管内科

ST段下移 ST-T改变 房性早搏 室性早搏 心电图 相关性

2024

实用心电学杂志
江苏大学

实用心电学杂志

影响因子:0.648
ISSN:2095-9354
年,卷(期):2024.33(6)