首页|动态心电图检查结果与PCI患者预后的相关性

动态心电图检查结果与PCI患者预后的相关性

扫码查看
原文链接
  • NETL
  • NSTL
  • 万方数据
目的 探讨术前动态心电图检查参数与冠心病PCI治疗患者预后的相关性.方法 回顾性分析2021年1月至2022年12月于我院行PCI治疗的100例冠心病患者临床资料,均行PCI治疗,并于术前开展动态心电图检查;随访1年,依据患者是否出现不良心血管事件分为预后不良与预后良好组,比较两组SDNN、SDNNI、SDANN及rMSSD差异;并绘制ROC曲线,分析动态心电图参数预测冠心病患者PCI治疗后预后的临床价值.结果 100例患者随访1年,共23例发生不良心血管事件;预后不良组SDNN、SDNNI、SDANN、rMSSD 为(78.54±6.22)ms、(38.96±4.58)ms、(55.12±5.36)ms、(22.65±2.39)ms,低于预后良好组的(125.41±10.33)ms、(58.03±5.89)ms、(84.74±6.87)ms、(45.44±4.52)ms(P＜0.05);绘制 ROC 曲线显示,SDNN、SDNNI、SDANN、rMSSD及联合检查预测冠心病PCI治疗后预后的AUC分别为:0.789、0.784、0.801、0.813、0.973,联合检查价值最高.结论 术前动态心电图检查可良好预测冠心病PCI治疗患者的预后,还需尽早完善检查,以此指导治疗,更好改善患者预后.
Analysis of the correlation between preoperative dynamic electrocardiogram parameters and the prognosis of patients with coronary heart disease treated with PCI
Objective To explore the correlation between preoperative dynamic electrocardiogram parameters and the prognosis of patients with coronary heart disease treated with PCI.Methods A retrospective analysis was conducted on the clinical data of 100 patients with coronary heart disease who underwent PCI treatment in our hospital from January 2021 to December 2022.All patients underwent PCI treatment and underwent dynamic electrocardiogram examination before surgery;Follow up for 1 year,divide patients into poor prognosis and good prognosis groups based on whether they have adverse cardiovascular events,and compare the differences in SDNN,SDNNI,SDANN,and rMSSD between the two groups;And draw ROC curves to analyze the clinical value of dynamic electrocardiogram parameters in predicting the prognosis of coronary heart disease patients after PCI treatment.Results 100 patients were followed up for 1 year,with a total of 23 cases experiencing adverse cardiovascular events;The SDNN,SDNNI,SDANN,and rMSSD of the poor prognosis group were(78.54±6.22)ms,(38.96±4.58)ms,(55.12±5.36)ms,and(22.65±2.39)ms,which were lower than those of the good prognosis group(125.41±10.33)ms,(58.03±5.89)ms,(84.74±6.87)ms,and(45.44±4.52)ms(P＜0.05);Drawing ROC curves shows that the AUC of SDNN,SDNNI,SDANN,rMSSD,and combined examination for predicting the prognosis of coronary heart disease after PCI treatment are 0.789,0.784,0.801,0.813,and 0.973,respectively,with the highest value of combined examination.Conclusions Preoperative dynamic electrocardiogram examination can predict the prognosis of patients with coronary heart disease undergoing PCI treatment well,and it is necessary to improve the examination as soon as possible to guide treatment work and better improve patient prognosis.

Coronary heart diseasePercutaneous coronary interventionDynamic e lectrocardiogram examinationPrognosisrelativity

叶雷

展开 >

深圳市宝安区人民医院(518101)

冠心病 经皮冠脉介入术 动态心电图检查 预后 相关性

2024

临床心电学杂志
中华医学会安徽分会,中华医学会心电生理和起搏分会,北京大学人民医院

临床心电学杂志

影响因子：0.651
ISSN：1005-0272
年,卷(期)：2024.33(4)
  • 13