破裂QRS波群对冠心病患者生存状况的影响

doi:10.3969/j.issn.1671-7171.2018.12.012

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Abstract 【Objective】 To investigate the effect of fragmentation QRS (fQRS) wave group on survival of patients with coronary heart disease (CHD).【Methods】 The clinical data of 1043 patients with CHD admitted from June 2014 to June 2017 were analyzed retrospectively. According to the presence of fQRS in the 12-lead synchronous electrocardiogram, the patients were divided into two groups: non fQRS group (n=205) and fQRS group (n=838). The results of echocardiography, electrocardiogram and prognosis were compared between the two groups. 【Results】 The incidence of left ventricular ejection fraction (LVEF) in the fQRS group was significantly higher than that in the non-fQRS group (P<0.05). The incidence of left ventricular septal thickness, left ventricular end-diastolic diameter (LVDD) and the incidence of three-vessel disease was significantly higher in the fQRS group than in the non fQRS group (P<0.05). Left ventricular end-systolic diameter (LVSD), left ventricular end-diastolic volume (LVDV), left ventricular end-systolic volume (LVSV) were not significantly different between the two groups (P>0.05). The electric axis of the fQRS group was lower than that of the non-fQRS group. The QRS duration, P wave duration and ST segment change rate were significantly higher in the fQRS group than in the non-fQRS group (P<0.05). The incidence of angina pectoris, arrhythmia, cardiac death and death in the fQRS group was higher than that in the non-fQRS group, and the survival time was shorter than that in the fQRS group (P<0.05).【Conclusion】 The incidence of cardiac dysfunction, cardiovascular events, cardiogenic mortality and death are higher in patients with CHD complicated with abnormal Q wave. When fQRS wave appears in electrocardiogram, it has good prognostic value.

Key words： Coronary Disease Electrocardiography

Received: 03 May 2018

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R541.4

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2018.12.012 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2018/V35/I12/2326

[1] Lavie CJ, Milani RV, Ventura HO, et al. Disparate effects of metabolically healthy obesity in coronary heart disease and heart failure[J].J Am Coll Cardiol,2014,63(11):1079-1081.
[2] Peters S.QRS fragmentation and epsilon waves in Fontaine leads in arrhythmogenic right ventricular cardiomyopathy: re: "The use of fontaine leads in the diagnosis of arrhythmogenic right ventricular dysplasia" and "arrhythmogenic right ventricular cardiomyopathy: Contribution of different electrocardiographic techniques"[J].Int J Cardiol,2014,176(3):1015-1016.
[3] 陈晓冬.超声心动图联合心电图QRS碎裂波诊断心肌梗死的临床价值[J].临床超声医学杂志,2014,16(9):590-593.
[4] 许原.碎裂QRS波的诊断[J].临床心电学杂志,2016,25(2):81-86.
[5] 赵瑞平,赵晋博.碎裂QRS波与冠心病心肌缺血及NT-proBNP的相关性研究[J].中国循环杂志,2016,31(z1):54-55.
[6] 陈丽萍,姚亚宾.碎裂QRS波辅助诊断心肌梗死的临床价值[J].心血管康复医学杂志,2017,26(3):331-334.
[7] 袁欣,杜建霖,邓松柏,等.ST 段压低碎裂QRS波可能是NSTE-MI病死率的预警指标[J].重庆医学,2014,17(1):21-24.
[8] 刘学义.碎裂QRS波与QRS波顿挫[J].临床心电学杂志,2016,25(2):86-90.
[9] 张凤梅,任国成,许长存,等.碎裂QRS波和缺血性J波与冠心病患者临床特征及预后的关系[J].山东医药,2016,56(12):51-53.
[10] 赵瑞平,张勇,万真真,等.碎裂QRS波对疑诊冠心病患者的冠状动脉狭窄程度和发生恶性心律失常的预测价值[J].中国心血管杂志,2017,22(3):190-193.
[11] Peters S.Vectorcardiography: diagnostic advantage over electrocardiography in arrhythmogenic cardiomyopathy[J].Int J Cardiol,2015,187:134-137.
[12] Sanchez MJ, Rivas MD, Zamorano J, et al. Multivariate analysis for coronary heart disease in heterozygote familial hypercholesterolemia patients[J]. Per Med,2018,15(2):87-92.