经PCI 治疗ST 段抬高型心肌梗死患者碎裂 QRS 波与SYNTAX Ⅱ评分的关系

Relationship between Fragmented QRS and SYNTAX Ⅱ score in patients with ST-segment elevation myocardial infarction treated with PCI

摘要:

目的 探讨经皮冠状动脉介入治疗（PCI）ST 段抬高型心肌梗死（STEMI）患者碎裂QRS （fQRS）与SYNTAX Ⅱ评分的相关性。方法 84 例PCI 治疗的STEMI 患者在PCI 前、后进行标准十二导 联心电图（ECG）检测。评估所有患者SYNTAX 评分和SYNTAX Ⅱ评分。所有患者行经胸超声心动图检查。 结果 20 例（23.8%）STEMI 患者ECG 检查有fQRS。SYNTAX Ⅱ评分中位数为27（22.9 ～ 33.8）。fQRS（+） 组SYNTAX Ⅱ评分高于fQRS（-）组（35.3 VS 25.8）（P <0.05）。高SYNTAX Ⅱ评分STEM 患者，ECG 上 fQRS 导联数量也相应地增加。结论 经PCI 治疗STEMI 患者fQRS 及fQRS 导联数量与SYNTAX Ⅱ评分相关。

Abstract:

Objective To evaluate the relation between fragmented QRS (fQRS) and syntax score Ⅱ (SS Ⅱ) in patients with ST elevation myocardial infarction (STEMI) treated with PCI. Methods This study enrolled 84 STEMI patients treated with percutaneous coronary intervention (PCI). The standard 12-lead electrocardiograms (ECG) were obtained from all patients before and after PCI. SS and SS Ⅱ were calculated in all patients. Transthoracic echocardiography was performed to all patients. Results Twenty patients (23.8%) had fQRS on their ECGs. The median SS Ⅱ was 27 (22.9 ～ 33.8). SS Ⅱ values in the fQRS (+) group were significantly higher than that in the fQRS (?) group (35.3 VS 25.8, P < 0.05). Also, in patients with higher SS Ⅱ, there was significantly higher number of fQRS leads on ECGs. Conclusions The presence of fQRS and high number of fQRS leads on ECG may be associated with high SS Ⅱ in STEMI patients treated with PCI.