|
|
|
| Clinical value and identification of ST segment elevation in ambulatory electrocardiogram |
| XU Jin-lan，GUO Mei-qin，WANG Xiao-hua，CHU Cheng-hua |
| Department of Electrocardiogram, the People′s Liberation Army No.92 Hospital, Nanping Fujian 353000,China |
|
|
|
|
Abstract Objective To explore the clinical value of ST segment elevation in 24hour ambulatory electrocardiogram（AECG）. Methods A total of 111 cases with ST segment elevation were divided into four groups，that is, angina group，Brugada wave group，pericarditis group and early repolarization variability group. The dynamic electrocardiogram were compared between four groups.Results In angina group,ST segment elevation was associated with patients onset of symptoms and attack time;In pericarditis group,all leads were continuously elevated. Althoughthe ST segment elevation in remaining two groups had dynamic changes and was not synchronous with the onset of symptoms，it was associated with the dynamic and static state of patients per se.Conclusion Combined with the clinical symptoms and patients dynamic and static state， ST segment elevation and form，distribution lead is the key factor of identifying the nature of ST segment elevation in AECG.
|
|
Received: 25 February 2013
|
|
|
|
| \[1\] 郭继鸿.新概念心电图\[M\].北京：北京大学医学出版社，2007:131-313.\[2\] 吴祥，蔡思宇. 急性心包炎心电图表现的若干新概念\[J\].中华心血管病杂志，2003,31（7）:542-544.\[3\] 田颖，张萍，陆锐，等. 早期复极改变106例心电图特征分析\[J\]. 中国综合临床，2012,28（1）：22-24.\[4\] 崔长宗. 早期复极综合征J波形成的细胞学基础\[J\]. 临床心电学杂志，2010,19（5）:325-327.\[5\] 侯月梅. 早复极综合征危险分层初探\[J\]. 临床心电学杂志，2010,19（5）:331-333. |
|
|
|
2013, Vol. 22 
