临床误诊误治2023,Vol.36Issue(10) :69-73.DOI:10.3969/j.issn.1002-3429.2023.10.016

急性心肌梗死患者Tp-Te/QT比值、血清SCUBE1水平与并发恶性室性心律失常的关系

Relationship between Tp-Te/QT Ratio,Serum SCUBE1 Level and Malig-nant Ventricular Arrhythmia in Patients with Acute Myocardial Infarction

周珏珉 邓学军 谭震 罗贵全
临床误诊误治2023,Vol.36Issue(10) :69-73.DOI:10.3969/j.issn.1002-3429.2023.10.016

急性心肌梗死患者Tp-Te/QT比值、血清SCUBE1水平与并发恶性室性心律失常的关系

Relationship between Tp-Te/QT Ratio,Serum SCUBE1 Level and Malig-nant Ventricular Arrhythmia in Patients with Acute Myocardial Infarction

周珏珉 1邓学军 2谭震 2罗贵全2
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作者信息

  • 1. 629000 四川遂宁,遂宁市中心医院心脏电生理室
  • 2. 629000 四川遂宁,遂宁市中心医院心血管中心
  • 折叠

摘要

目的 探讨急性心肌梗死(AMI)患者Tp-Te/QT比值、血清信号肽-CUB-表皮生长因子结构域包含蛋白1(SCUBE1)水平与并发恶性室性心律失常(MVA)的关系.方法 选取2021 年2 月—2023 年2 月收治的135 例AMI作为病例组,另选取同期体检健康者102 例作为对照组.应用心电散点图技术分析记录心电图资料,将病例组根据是否发生MVA又分为 MVA 组和非 MVA 组.分析各组 Tp-Te/QT 比值、血清 SCUBE1 水平,采用受试者工作特征(ROC)曲线评估Tp-Te/QT比值、血清SCUBE1 对AMI患者并发MVA的预测效能,采用多因素Logistic回归分析探讨AMI患者并发MVA的影响因素.结果 病例组Tp-Te/QT比值与血清SCUBE1 水平均高于对照组(P<0.01).MVA组Tp-Te/QT比值与血清SCUBE1 水平均高于非MVA组(P<0.01).Tp-Te/QT比值联合血清SCUBE1 预测AMI患者合并MVA的曲线下面积(0.918)高于各指标单独预测的曲线下面积.多因素Logistic回归分析显示,Tp-Te/QT比值≥0.22、SCUBE1≥50.20 μg/L是AMI患者并发MVA的危险因素(P<0.01).结论 Tp-Te/QT比值、血清SCUBE1是影响AMI患者合并MVA的危险因素,Tp-Te/QT比值联合血清SCUBE1 对预测AMI患者合并MVA的发生风险具有一定临床价值.

Abstract

Objective To investigate the relationship between Tp-Te/QT ratio,the level of serum signaling peptide-CUB-epidermal growth factor-like domain-containing protein 1(SCUBE1)and malignant ventricular arrhythmia(MVA)in patients with acute myocardial infarction(AMI).Methods In total,135 patients with AMI admitted from February 2021 to February 2023 were selected as the case group,and 102 healthy physical examinees were selected as the control group.ECG data were analyzed and recorded by ECG scattergram technique,and the case group was divided into MVA group and non-MVA group according to occurrence of MVA.Tp-Te/QT ratio and serum SCUBE1 levels in each group were analyzed.Receiv-er operating characteristic(ROC)curve was used to evaluate the predictive efficacy of Tp-Te/QT ratio and serum SCUBE1 on MVA in AMI patients.Multivariate Logistic regression analysis was used to explore the influencing factors of MVA in AMI pa-tients.Results The Tp-Te/QT ratio and serum SCUBE1 level in case group were higher than those in control group(P<0.01).The Tp-Te/QT ratio and serum SCUBE1 level in MVA group were higher than those in non-MVA group(P<0.01).the area under the ROC curve(AUC)of Tp-Te/QT ratio combined with serum SCUBE1 in predicting MVA in AMI patients was 0.918,which was higher than that predicted by each indicator alone.Multivariate Logistic regression analysis showed that the Tp-Te/QT ratio≥0.22 and SCUBE1≥50.20 μg/L were risk factors for MVA in AMI patients(P<0.01).Conclusion Tp-Te/QT ratio and serum SCUBE1 are risk factors for MVA in AMI patients.Tp-Te/QT ratio combined with serum SCUBE1 has certain clinical value in predicting the risk of MVA in AMI patients.

关键词

心肌梗死/Tp-Te/QT比值/信号肽-CUB-表皮生长因子结构域包含蛋白1/恶性室性心律失常/受试者工作特征曲线/曲线下面积/诊断效能/影响因素分析

Key words

Myocardial infarction/Tp-Te/QT ratio/The signal peptide-CUB-epidermal growth factor-like domain-containing protein 1/Malignant ventricular arrhythmia/Receiver operating characteristic curve/Area under the curve/Diag-nostic efficacy/Analysis of influencing

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基金项目

四川省基层卫生事业发展研究中心项目(SWFZ20-Q-058)

出版年

2023
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量9
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