首页|心电图ST-T段回落程度对急性心肌梗死PCI术后患者预后的预测价值分析

心电图ST-T段回落程度对急性心肌梗死PCI术后患者预后的预测价值分析

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目的:分析心电图ST-T段回落程度预测急性心肌梗死(AMI)经皮冠状动脉介入治疗(PCI)术后患者预后情况的价值。方法:回顾性分析 2020年 1月—2024年 1月济南市第三人民医院收治的 100例行PCI术的AMI患者病例资料。按其术后 1个月内是否发生不良心血管事件(MACE),将其分为预后良好组与预后不良组。分析两组发生MACE的影响因素,并描绘受试者工作特征曲线,探究影响因素的预测价值。结果:100例AMI患者中,共有11例(11。00%)发生MACE。预后不良组术前至术后1、2 h的心电图ST-T段回落程度均低于预后良好组,差异均有统计学意义(P<0。05)。术前至术后1、2 h心电图ST-T段回落程度是AMI患者PCI术后发生MACE的高危因素,差异均有统计学意义(P<0。05)。术前至术后 1、2 h心电图ST-T段回落程度预测AMI患者PCI术后预后的曲线下面积分别为0。707、0。704。结论:心电图ST-T段回落程度较小可预测AMI患者行PCI术后的预后效果较差,存在一定的预测价值。
Analysis of the Predictive Value of ST-T Segment Regression in Patients with Acute Myocardial Infarction after PCI
Objective:To analyze the value of ST-T segment regression in predicting the prognosis of patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods:The data of 100 AMI patients undergoing PCI treated in Jinan Third People's Hospital from January 2020 to January 2024 were retrospectively analyzed.According to the occurrence of adverse cardiovascular events(MACE)within 1 month after operation,they were divided into good prognosis group and poor prognosis group.The influencing factors for the occurrence of MACE in the two groups were analyzed,and the Receiver Operating Characteristic curve was drawn to explore the predictive value of the influencing factors.Results:Among 100 patients with AMI,11(11.00%)had MACE.The ST-T segment of ECG in the poor prognosis group was lower than that in the good prognosis group from preoperative to postoperative 1 and 2 h,the differences were statistically significant(P<0.05).The regression degree of ST-T segment in ECG from preoperative to 1 and 2 h after PCI was a high risk factor for MACE in AMI patients,the differences were statistically significant(P<0.05).The area under the curve for predicting the prognosis of AMI patients after PCI was 0.707 and 0.704,respectively.Conclusion:The lower degree of ST-T segment of ECG can predict the poor prognosis of AMI patients after PCI,which has certain predictive value.

Acute myocardial infarctionPercutaneous coronary interventionAdverse cardiovascular eventsPrognosis

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山东省济南市第三人民医院特检中心电生理科,山东 济南 250000

急性心肌梗死 经皮冠状动脉介入治疗 不良心血管事件 预后

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)