动态心电图评价冠状动脉粥样硬化性心脏病患者 左心房容积、功能和同步性的价值研究

Evaluation of left atrial volume, function and synchrony in patients with coronary atherosclerotic heart disease by dynamic electrocardiogram

摘要:

目的 探讨动态心电图（AECD）评价冠状动脉粥样硬化性心脏病（以下简称冠心病）患者左心 房容积、功能和同步性的价值。方法 选取2016 年8 月—2018 年2 月在国药东风总医院心内科诊治的72 例 冠心病患者作为观察组，选取同期该院经冠状动脉造影检测证实冠状动脉狭窄率<30% 的72 例患者作为对照 组。采用AECD 评价两组左心房容积、功能和同步性。结果 两组性别、年龄、体重指数、收缩压、舒张压 及心率比较，差异无统计学意义（P >0.05）。观察组左心房最大容积、左心房最小容量及左心房容积值高于 对照组（P <0.05）；观察组左心房功能S 与E 值低于对照组（P <0.05）；观察组P-ALA 高于对照组（P <0.05）， 两组P-AIAS、P-ARA 比较，差异无统计学意义（P >0.05）。结论 AECD 可早期准确评价冠心病患者左心房容 积、功能和同步性，对于冠心病的临床诊断及其预后、疗效评估具有临床指导意义。

Abstract:

Objective To evaluate the values of left atrial volume, function and synchrony in patients with coronary atherosclerotic heart disease by dynamic electrocardiogram. Methods From August 2016 to February 2018, 72 patients with coronary heart disease who were diagnosed and treated in the Department of Cardiology of our hospital were selected as the observation group. 72 patients with coronary artery stenosis rate < 30% were confirmed by coronary angiography were selected as the control group. The dynamic electrocardiogram were used to evaluate the left atrial volume, function and synchrony of the two groups of patients. Results There were no significant differences in gender, age, body mass index, systolic blood pressure, diastolic blood pressure and heart rates compared between the two groups (P > 0.05). The LAVmax, LAVmin and LAVp values in the observation group were higher than the control group, and the difference were statistically significant (P < 0.05). The left atrial function S and E values in the observation group were significantly lower than those in the control group, and the difference were statistically significant (P < 0.05). The P-ALA in the observation group were higher than the control group, and the difference were statistically significant (P < 0.05), and there were no significant difference in P-AIAS and P-ARA compared between the two groups (P > 0.05). Conclusion Dynamic electrocardiogram can accurately evaluate left atrial volume, function and synchrony in patients with coronary heart disease. It has significant clinical guiding significance for the clinical diagnosis and prognosis evaluation of coronary heart disease.