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碎裂QRS波与急性心肌梗死血管再通的研究

yanmin Liu,wei Li,rong Chang,xiaoling Su,guoyong Liu,xiaojuan Wei,nannan Liu

Journal of Clinical Electrocardiology（2016）

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Abstract
目的 通过观察急性ST段抬高型心肌梗死行急性血管再通及未行血管再通治疗的心电图碎裂QRS波(Fragmented QRS complex,fQRS)变化,探讨fQRS评估急性ST段抬高型心肌梗死血管再通的临床价值.方法 观察急性ST段抬高型心肌梗死行急诊溶栓、行急诊经皮冠状动脉介入治疗(percutaneous transluminal coronary intervention,PCI)血管再通患者、未行急诊血管再通治疗患者心电图fQRS发生率.结果 STEMI溶栓后冠脉血管再通组fQRS波发生率明显低于未通组(p＜0.01);STEMI行急诊PCI后fQRS波发生率明显低于未行急诊PCI组(p＜0.01);STEMI行急诊PCI术前组与术后组fQRS发生率比较无明显差异(p＞0.05).结论 碎裂QRS波对评估急性ST段抬高型心肌梗死冠脉血管再通具有重要临床价值.
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Key words
Fragmented QRS complexes (fQRS),acute ST-elevation myocardial infarction (STEMI),thrombolysis,percutaneous transluminal coronary intervention (PCI)
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