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LI Fang, REN Yunyun. Relationship between myocardial ischemia grading diagnosed by electrocardiogram and target vessel location as well as stenosis degree in patients with acute myocardial infarction[J]. Journal of Clinical Medicine in Practice, 2020, 24(14): 106-108,118. DOI: 10.7619/jcmp.202014029
Citation: LI Fang, REN Yunyun. Relationship between myocardial ischemia grading diagnosed by electrocardiogram and target vessel location as well as stenosis degree in patients with acute myocardial infarction[J]. Journal of Clinical Medicine in Practice, 2020, 24(14): 106-108,118. DOI: 10.7619/jcmp.202014029
shu

Relationship between myocardial ischemia grading diagnosed by electrocardiogram and target vessel location as well as stenosis degree in patients with acute myocardial infarction

  • 1. Functional Department, Puyang Huimin Hospital, Puyang, He'nan, 457000;

  • 2. Department of Internal Medicine, Zhouzhi County Hospital of Traditional Chinese Medicine, Xi'an, Shaanxi, 710400

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  • Received Date: May 19, 2020
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    • Abstract
  • Objective To investigate the relationship between myocardial ischemia grading diagnosed by electrocardiogram and target vessel location as well as stenosis in patients with acute myocardial infarction(AMI). Methods A total of 100 AMI patients were selected as research objects, and were divided into two groups. Fifty patients with grade 2 myocardial ischemia were selected as grade 2 myocardial ischemia group, another fifty patients with grade 3 ischemia were selected as grade 3 myocardial ischemia group. Clinical relevant indicators, target vessel position, degree of stenosis were compared, and major adverse cardiovascular events after 6-month follow-up of two groups was recorded. Results The baseline values and increase degree of serum creatine kinase isoenzyme(CK-MB), brain natriuretic peptide(BNP)and the of cardiac troponin I(cTnI)in the grade 3 myocardial ischemia group were significantly higher than those in the grade 2 myocardial ischemia group(P<0.05); the proportions of patients with left anterior descending branch lesion, more than one target lesion, and entire luminal stenosis in the grade 3 myocardial ischemia group were significantly higher, and proportions of patients with left circumflex artery lesion and right coronary artery lesion were significantly lower than those in the grade 2 myocardial ischemia group(P<0.05); the incidence of major cardiovascular adverse events in the grade 3 myocardial ischemia group was significantly higher than that in the grade 2 myocardial ischemia group(26.00% vs. 8.00%, P<0.05). Conclusion There are significant differences in cTnI, CK-MB, BNP, target vessel location as well - as stenosis degree between grade 3 myocardial ischemia and grade 2 myocardial ischemia patients. Myocardial ischemia grading diagnosed by electrocardiogram can provide a powerful reference for physicians to evaluate the location and stenosis of target vessels in patients with AMI.
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  • 林松. 尿激酶联合氯呲格雷治疗心肌梗死的疗效及对患者血清BNP、cTnT、CK-MB水平的影响[J]. 广西医科大学学报, 2017, 34(2): 231-235.
    王智谦, 何涛, 韩雅君. 急诊溶栓治疗急性心肌梗死的临床观察[J]. 内蒙古医科大学学报, 2017, 39(6): 542-544.
    党庆莲, 刘瑞. 急诊介入手术治疗老年急性心肌梗死的近期疗效及其对患者血清炎症因子的影响[J]. 海南医学, 2016, 27(13): 2085-2087.
    赵瑞平, 张勇, 万真真. 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.
    张丽娟. 动态心电图在无症状性心肌缺血诊断中的临床应用价值分析[J]. 现代诊断与治疗, 2015, 26(13): 2993-2994.
    沈卫峰, 张奇, 张瑞岩. 2015年急性ST段抬高型心肌梗死诊断和治疗指南解析[J]. 国际心血管病杂志, 2015, 42(4): 217-219.
    王红宇. 2009年美国心脏协会/美国心脏病学会/美国心律协会心电图标准化与解析建议的解读[J]. 实用医技杂志, 2010, 17(9): 802-804.
    阮凯丽, 帅佳丽, 黄国强, 等. 盐酸替罗非班用于急性心肌梗死介入治疗对左室射血分数、肌酸磷酸激酶同工酶的影响[J]. 血栓与止血学, 2019, 25(1): 11-13

    , 16.
    郝翠平. 盐酸替罗非班联合心血管介入治疗急性心肌梗死病人的临床效果与安全性研究[J]. 安徽医药, 2017, 21(6): 1117-1119.
    邓莲香, 黄学成. 心电图缺血分级与急性心肌梗死靶血管定位及狭窄程度的关系[J]. 解放军预防医学杂志, 2018, 36(2): 178-180.
    韩宝华, 罗晓婷. 腺苷负荷心肌核素显像、心电图与心脏超声室壁运动对冠心病心肌缺血诊断价值比较分析[J]. 广西医科大学学报, 2017, 34(10): 1495-1497.
    谢金玉, 秦巍. 心肌梗死病人发生心肌缺血、损伤和坏死的心电图表现与诊断价值[J]. 中西医结合心脑血管病杂志, 2017, 15(6): 696-698.
    史力生, 孔强, 许骥, 等. 冠状动脉内心电图对急性心肌梗死患者近期预后的预测价值[J]. 中国循证心血管医学杂志, 2017, 9(5): 597-599.
    邹玲. 急性AMI患者急诊PCI术中心肌缺血后适应对再灌注心律失常的抗心律失常效应及手术时间的影响[J]. 蚌埠医学院学报, 2017, 42(2): 201-203.
    王建锋, 王纬经, 陆袁洲. 心肌缺血预适应联合前列地尔对急性心肌梗死病人PCI术后微循环和预后的影响[J]. 中西医结合心脑血管病杂志, 2019, 17(12): 1887-1890.
    张萍. 急性心肌梗死患者心电图缺血分级与靶血管狭窄程度的临床研究[J]. 中国综合临床, 2018, 34(2): 138-141.
    沈玉祥, 高传玉, 陈岩, 等. 变异型心绞痛患者痉挛靶血管部位的判断及其与心律失常关系的探讨[J]. 中华实用诊断与治疗杂志, 2017, 31(9): 854-858.
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