[1]贾慧芳.动态心电图联合冠脉血管成像对ST段抬高型心肌梗死罪犯血管的定位诊断作用[J].医学信息,2023,36(19):114-117.[doi:10.3969/j.issn.1006-1959.2023.19.024]
　JIA Hui-fang.Role of Dynamic Electrocardiogram Combined with Coronary Angiography in the Localization and Diagnosis of Culprit Vessels in ST-segment Elevation Myocardial Infarction[J].Journal of Medical Information,2023,36(19):114-117.[doi:10.3969/j.issn.1006-1959.2023.19.024]
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动态心电图联合冠脉血管成像对ST段抬高型心肌梗死罪犯血管的定位诊断作用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年19期
页码:
114-117
栏目:
论著
出版日期:
2023-10-01

文章信息/Info

Title:
Role of Dynamic Electrocardiogram Combined with Coronary Angiography in the Localization and Diagnosis of Culprit Vessels in ST-segment Elevation Myocardial Infarction
文章编号:
1006-1959（2023）19-0114-04
作者:
贾慧芳
（天津市第一医院心电图室，天津 300000）
Author(s):
JIA Hui-fang
(ECG Room of Tianjin First Hospital,Tianjin 300000,China)
关键词:
动态心电图; 冠脉血管成像; ST段抬高型; 心肌梗死
Keywords:
Dynamic electrocardiogram; Coronary angiographyST-segment elevation; Myocardial infarction
分类号:
R445
DOI:
10.3969/j.issn.1006-1959.2023.19.024
文献标志码:
A
摘要:
目的 研究动态心电图联合冠脉血管成像对ST段抬高型心肌梗死罪犯血管的定位诊断作用。方法 选取2017年9月-2019年9月天津市人民医院规培期间收集的200例疑似ST段抬高型心肌梗死患者为研究对象，均进行动态心电图、冠脉血管成像以及以冠状动脉造影检查，以冠状动脉造影为金标准，比较动态心电图、冠脉血管成像以及动态心电图+冠脉血管成像在ST段抬高型心肌梗死不同罪犯血管[左前降支（LAD）、左回旋支（LCX）、右冠状动脉（RCA）]定位中的准确性、诊断效能（敏感度、特异度）、与冠状动脉造影结果的一致性以及图像特点。结果 动态心电图+冠脉血管成像LAD、LCX、RCA定位准确性高于动态心电图、冠脉血管成像，且冠脉血管成像LAD、LCX、RCA定位准确性高于动态心电图（P＜0.05）；动态心电图+冠脉血管成像定位敏感度、特异度均高于动态心电图、冠脉血管成像，且冠脉血管成像高于动态心电图（P＜0.05）；动态心电图+冠脉血管成像联合对ST段抬高型心肌梗死罪犯血管定位准确率与冠状动脉造影结果具有高度一致性，且一致性高于动态心电图、冠脉血管成像，冠脉血管成像高于动态心电图（P＜0.05）；不同检查方法对ST段抬高型心肌梗死罪犯血管定位会表现不同的图像特点。结论 动态心电图+冠脉血管成像在ST段抬高型心肌梗死罪犯血管的定位中具有较高的诊断效能，可提高定位准确性，且与冠状动脉造影保持较高的一致性，可为临床介入治疗方案的制定提供参考依据。
Abstract:
Objective To study the role of dynamic electrocardiogram combined with coronary angiography in the localization and diagnosis of culprit vessels in ST-segment elevation myocardial infarction.Methods From September 2017 to September 2019, 200 patients with suspected ST-segment elevation myocardial infarction collected during the standardized training in Tianjin People’s Hospital were selected as the research objects. All patients underwent dynamic electrocardiogram, coronary angiography and coronary angiography, with coronary angiography as the gold standard. The localization accuracy of different culprit vessels [left anterior descending branch (LAD), left circumflex branch (LCX), right coronary artery (RCA)], diagnostic efficacy (sensitivity, specificity), consistency with coronary angiography results and image characteristics of dynamic electrocardiogram, coronary angiography and dynamic electrocardiogram+coronary angiography in ST-segment elevation myocardial infarction were compared.Results The localization accuracy of LAD, LCX and RCA in dynamic electrocardiogram+coronary angiography was higher than that in dynamic electrocardiogram and coronary angiography, and the positioning accuracy of LAD, LCX and RCA in coronary angiography was higher than that in dynamic electrocardiogram (P<0.05). The sensitivity and specificity of dynamic electrocardiogram+ angiography were higher than those of dynamic electrocardiogram and coronary angiography, and coronary angiography was higher than dynamic electrocardiogram (P<0.05). The accuracy of dynamic electrocardiogram combined with coronary angiography in the localization of culprit vessels in ST-segment elevation myocardial infarction was highly consistent with that of coronary angiography, and the consistency was higher than that of dynamic electrocardiogram and coronary angiography, and coronary angiography was higher than that of dynamic electrocardiogram (P<0.05). Different examination methods for ST-segment elevation myocardial infarction criminal vascular localization will show different image characteristics.Conclusion Dynamic electrocardiogram+coronary angiography has a high diagnostic efficiency in the localization of culprit vessels in ST-segment elevation myocardial infarction. Meanwhile, it can improve the positioning accuracy, and maintain a high consistency with coronary angiography, which can provide a reference for the formulation of clinical interventional treatment programs.

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更新日期/Last Update: 1900-01-01