冠状动脉慢血流与QRS波群离散度关系的研究
The relationship between timi frame counts and QRS wave group dispersion in patients with coronary slow blood flow
陈进乾 1邓荣花 1闫贤良 2程宇彤 2樊楚 2李学鹏 2李壮壮 3李丹 4孙伟 5李亮 6齐皓杰 7陈亮 8孙涛2
作者信息
- 1. 037056 大同市第五人民医院心内三病区
- 2. 首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所冠心病六病区
- 3. 枣庄市市中区人民医院
- 4. 山东中医药大学
- 5. 中国中医科学院望京医院
- 6. 浏阳市中医医院
- 7. 陕西省森林工业职工医院
- 8. 沧县医院
- 折叠
摘要
目的:探讨冠状动脉慢血流与QRS波群离散度的关系.方法:我们回顾分析2021年至2022年间,北京安贞医院经冠状动脉造影明确SCF患者18例,对照组由23例年龄和性别匹配的冠状动脉造影完全正常者组成,测量两组患者的心电图数据中Tpe(T波峰值至终点的间隔时间)、Tpe/QT、QTd(QT离散度)、QTcd(校正QT离散度)数值,分析SCF患者中QRS波离散度同血流帧数之间的关系.结果:与对照组相比,SCF组的平均Tpe、Tpe/QT、QTd、QTcd延长(P<0.05).与对照组相比,SCF组的TIMI帧数明显升高(P<0.05).结论:SCF患者心电图中Tpe、Tpe/QT、QTd、QTcd的延长,预测室性心律失常的风险增加.
Abstract
Objective:To investigate the relationship between slow coronary blood flow and the dispersion of QRS clusters.Methods:We analyzed 18 patients with coronary slow flow identified by coronary angiography during 2021-2022 at Beijing Anzhen Hospital.A control group consisted of 23 age-and sex-matched patients with completely normal coronary angiography.We measured the values of Tpe,Tpe/QT,QTd and QTcd in the ECG data of the two groups,and analyzed the relationship between SCF and QRS wave dispersion.The relationship between QRS wave dispersion and TIMI frame counts in patients with SCF was analyzed.Results:There were no significant differences in age,gender,hypertension and diabetes between the two groups.Compared with the control group,the average Tpe,Tpe/QT,QTd and QTcd in patients with SCF were prolonged(P<0.05),and the number of TIMI frames was significantly increased(P<0.05).Conclusions:The prolongation of Tpe,Tpe/QT,QTd and QTcd in ECG of patients with SCF predicts an increased risk of ventricular arrhythmia.
关键词
冠状动脉慢血流/QRS波群离散度/室性心律失常/预测Key words
Slow coronary flow/QRS wave group dispersion/Ventricular arrhythmia/Predict引用本文复制引用
基金项目
中国高校产学研创新基金(2021ITA05003)
出版年
2024