实用心电学杂志2024,Vol.33Issue(6) :572-577,583.DOI:10.13308/j.issn.2095-9354.2024.06.007

ST段下移、ST-T改变与房性或室性早搏的相关性

Correlation between ST-segment depression,ST-T changes and atrial premature beats or premature ventricular contraction

李蓉 宋潇 赵瑞 王兵玲 马明仁
实用心电学杂志2024,Vol.33Issue(6) :572-577,583.DOI:10.13308/j.issn.2095-9354.2024.06.007

ST段下移、ST-T改变与房性或室性早搏的相关性

Correlation between ST-segment depression,ST-T changes and atrial premature beats or premature ventricular contraction

李蓉 1宋潇 1赵瑞 1王兵玲 1马明仁1
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作者信息

  • 1. 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
  • 折叠

摘要

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.

Abstract

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.

关键词

ST段下移/ST-T改变/房性早搏/室性早搏/心电图/相关性

Key words

ST-segment depression/ST-T change/atrial premature beats/premature ventricular contraction/electrocardiogram/correlation

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出版年

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
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