西藏医药2024,Vol.45Issue(2) :15-17.

心肌梗死患者心电图QRS波宽度与心肌损伤的相关性分析

Correlation analysis of ECG QRS wave width and myocardial injury in patients with myocardial infarction

韩冰洁 苗婷茹
西藏医药2024,Vol.45Issue(2) :15-17.

心肌梗死患者心电图QRS波宽度与心肌损伤的相关性分析

Correlation analysis of ECG QRS wave width and myocardial injury in patients with myocardial infarction

韩冰洁 1苗婷茹2
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作者信息

  • 1. 浙江大学医学院附属邵逸夫医院心电图室 浙江杭州 310020
  • 2. 浙江省人民医院心电功能科 浙江杭州 310000
  • 折叠

摘要

目的 探究心肌梗死患者心电图QRS波宽度与心肌损伤的相关性分析.方法 收集我院2020年2月~2023年2月收治的心肌梗死患者131例临床资料.依照心电图QRS波宽度分为QRS波宽度增加组(QRS波宽度≥120 ms,72例)和QRS波宽度正常组(QRS波宽度<120 ms,59例).比较一般资料、cTnI、CK-MB、Myo水平,分析患者心电图QRS波宽度与心肌损伤的相关性.结果 两组的一般资料差异不显著,P均>0.05;QRS波宽度增加组心肌损伤相关指标cTnI、CK-MB、Myo均高于QRS波宽度正常组,差异显著,P均<0.05;心肌梗死患者心电图QRS波宽度与心肌损伤相关指标cTnI、CK-MB、Myo均呈显著正相关,P均<0.05.结论 心肌梗死患者心电图QRS波宽度与心肌损伤密切相关,与cTnI、CK-MB、Myo水平均呈显著正相关.心电图QRS波宽度增加可能提示心肌梗死患者发生心肌损伤.

Abstract

Objective:To explore the correlation between electrocardiogram QRS wave width and myocardial injury in pa-tients with myocardial infarction.Methods:The clinical data of 131 patients with myocardial infarction admitted to the hospital from February 2020 to February 2023 were collected.According to the QRS width of electrocardiogram,the patients were divid-ed into an increased QRS width group(QRS width ≥120 ms,72 cases)and a normal QRS width group(QRS width<120 ms,59 cases).The general data,cTnI,CK-MB and Myo levels were compared,and the correlation between QRS wave width of electro-cardiogram and myocardial injury was analyzed.Results There was no significant difference in general data between the two groups(P>0.05).The myocardial injury related indexes cTnI,CK-MB and Myo in the increased QRS width group were higher than those in the normal QRS width group,and the difference was statistically significant(P<0.05).QRS wave width was posi-tively correlated with cTnI,CK-MB and Myo in patients with myocardial infarction(all P<0.05).Conclusion QRS wave width is closely related to myocardial injury in patients with myocardial infarction,and it is positively correlated with cTnI,CK-MB and Myo levels.Increased QRS wave width may indicate myocardial injury in patients with myocardial infarction.

关键词

心肌梗死/心电图/QRS波/宽度/心肌损伤

Key words

myocardial infarction/Electrocardiogram/QRS wave/Width/Myocardial injury

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出版年

2024
西藏医药
西藏医学会

西藏医药

ISSN:1005-5177
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