| .陆炜,杨弘,牟许涛,应飞.心电图对不稳定型心绞痛血管病变的定位诊断及与冠状动脉造影的符合程度分析[J].浙江中西医结合杂志,2017,27(8): |
| 心电图对不稳定型心绞痛血管病变的定位诊断及与冠状动脉造影的符合程度分析 |
| Analysis of electrocardiogram in diagnosis of unstable angina and the degree of coincidence with coronary angiography |
| 投稿时间：2016-12-20 修订日期：2017-02-22 |
| DOI： |
| 中文关键词: 不稳定型心绞痛 心电图 冠状动脉造影 定位诊断 |
| 英文关键词:unstable angina electrocardiogram coronary angiography positioning diagnosis |
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| 中文摘要: |
| 【】 目的 分析心电图对不稳定型心绞痛血管病变的定位诊断及与冠状动脉造影的符合程度。方法 于2012年9月至2016年10月,在我院随机选取180例不稳定型心绞痛患者行冠状动脉造影,并于患者胸痛发作时行12导联心电图检查。对比分析冠状动脉造影与心电图的诊断结果。结果 ①心电图诊断为前壁心肌缺血的患者有96例,其血管病变率中左前降支最高(84.4%),差异有统计学意义(P <0.05)；②心电图诊断为下壁心肌缺血的患者有35例,其血管病变率中右冠状动脉最高(62.9%),差异有统计学意义(P <0.05)；③心电图诊断为侧壁心肌缺血的患者有24例,其血管病变率中左回旋支最高(54.2%),差异有统计学意义(P <0.05)；④心电图诊断为心肌广泛缺血的患者有25例,其血管病变率中左主干最高(68.0%),差异有统计学意义(P <0.05)。结论 心电图对不稳定型心绞痛血管病变的定位诊断与冠状动脉造影结果具有很高的符合率,在不稳定型心绞痛的早期诊断中具有重要意义,有极高的临床实践价值。 |
| 英文摘要: |
| 【】Objective To analysis of electrocardiogram in diagnosis of unstable angina and the degree of coincidence with coronary angiography.Methods From January 2012 to December 2016, 180 patients with unstable angina were randomly selected in our hospital.Patients were checked by coronary angiography and patients with angina pec-toris attacks were checked by 12 lead electrocardiogram.The diagnosis results were compared with electrocardiogram and coronary angiography.Results ①The electrocardiogram diagnosed 96 cases of patients with anterior wall ischemia ,the highest rate of vascular disease was left anterior descending artery(84.4%),there difference was significant(P<0.05);②The electrocardiogram diagnosed 35 cases of patients with inferior wall ischemia ,the highest rate of vascular disease was right coronary artery(62.9%),there difference was significant(P<0.05);③The electrocardiogram diagnosed 24 cases of patients with side wall ischemia ,the highest rate of vascular disease was left circumflex(54.2%),there difference was significant(P<0.05);④The electrocardiogram diagnosed 25 cases of patients with extensive myocardial ischemia,the highest rate of vascular disease was left main coronary artery(68.0%),there difference was significant(P <0.05).Conclusion The electrocardiogram in diagnosis of unstable angina of vascular disease and coronary angiography results have a high rate of compliance. The electrocardiogram in the early diagnosis of unstable angina have a important significance, there is a high clinical practice value.【Keyword】unstable angina;electrocardiogram；coronary angiography;positioning diagnosis |
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