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冠状动脉抽的成像特征和心电图分布:第一个大规模研究
Renhui Cai1, Juan Xu1, Chaoqun Yan2
1Department of Radiology, Asia Heart Hospital, No.753 Jinghan Road, Hankou District, Wuhan 430022, PR China.
冠状动脉 (CAF) 经常导致心电图 (ECG) 异常,特别是在冠状室 (CCF) 病例中. 在这些患者中,手术干预往往可以恢复正常的心电图发现.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 临床诊断 临床诊断 临床诊断
背景情况:
- 冠状动脉 (CAF) 与异常心电图 (ECG) 的高发病率有关,但详细的相关性研究有限.
- 现有的文献主要包括关于CAF和心律失常之间的关系的个案报告.
研究的目的:
- 在被诊断为CAF的患者中调查异常心电图发现的发生率和分布.
- 为了区分心电图特征冠状室 (CCF) 和冠状肺动脉 (CPAF).
主要方法:
- 对284名患有CAF的患者 (不包括冠状动脉样硬化) 的回顾性分析,从144,448名接受冠状动脉计算机断层扫描血管学 (CTA) 的队列中.
- 在CPAF (221个案例) 和CCF (63个案例) 组之间,ECG和成像特征的比较.
- 在外科手术后对心电图变化的评估.
主要成果:
- 大约72.9%的CAF患者表现出异常的心电图发现.
- 在CPAF和CCF组之间观察到ECG阻断,心肌缺血和结构变化的显著差异 (P <0.05).
- CCF表现出更高的倾向导致导电阻塞,缺血和结构性心电图异常. 手术后,53名接受治疗的患者中,52%的患者显示了心电图的改善.
结论:
- 冠心室 (CCF) 经常与异常的心电图发现有关,包括导电阻塞,心肌缺血症和结构变化.
- 手术治疗有可能使CCF患者的心电图异常正常化.
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