对12导T波形态的分析,用于心肌梗塞后风险分层
M Zabel1, B Acar, T Klingenheben
1Cardiology Division, Klinikum Benjamin Franklin, Free University, Berlin, Germany.
Circulation
|September 12, 2000
概括
对心电图的新型T波分析可以识别心肌梗塞 (MI) 后心脏突然死亡风险的患者. 这种方法在与其他临床标志物一起使用时可以改善风险分层.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 生物医学工程 生物医学工程
背景情况:
- 对心肌梗塞 (MI) 后的患者来说,对突然心脏死亡风险的分层是至关重要的.
- 来自休息的12导电心电图的新型T波形态描述器需要预后评估.
研究的目的:
- 评估新T波形态描述器的预后价值,这些描述器是从后心脏病患者的休息12心电图中获得的.
主要方法:
- 在出院前分析了280名心脏病后心脏病患者的12心电图.
- 使用单数值分解计算了5个T波形态描述符.
- 在平均32个月的随访期间,评估了与27个临床事件的关联.
主要成果:
- 总共正弦值R-to-T (TCRT) 和T波循环分散与临床事件显著相关 (P < 0.002).
- 在考克斯回归分析中,TCRT显示了对不良事件的独立预测值 (P < 0.03).
- 心率,左心室喷射率和再注射疗法也仍然是重要的预测因素.
结论:
- 静止心电图的计算机化T波形态分析提供了对后心脏病患者的独立风险评估.
- 当与其他已确定的风险标志物相结合时,该技术可以增强风险分层.
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