王学忠,邵旭武,王岳松,汪韶君,樊琴,方永华,夏金发,张先林

• 1:安徽省马鞍山市人民医院心内科

摘要(Abstract)：

目的探讨碎裂QRS波(fQRS)对急性ST段抬高心肌梗死(STEMI)直接PCI术后12个月内患者再发主要不良心脏事件(MACE)的预测意义。方法入选接受直接PCI的急性STEMI患者92例,记录12导联心电图,按PCI后72 h内是否出现碎裂QRS波,分为fQRS组和非fQRS组。随访12个月,比较两组患者MACE的发生率。结果 fQRS组患者在术后1年MACE显著高于非fQRS组[15(31.2%)vs.4(9.1%)]。生存分析显示,fQRS组患者无事件生存率明显减低(P<0.004);Cox风险分析显示,fQRS是急性STEMI患者PCI术后再发MACE的独立预后危险因素(HR 2.19,95%CI 1.38-3.50,P=0.023)。结论 fQRS波可能是判别急性STEMI患者直接PCI术后再发MACE的一种独立预测指标。

关键词(KeyWords)： 急性ST段抬高心肌梗死;经皮冠状动脉介入治疗;碎裂QRS波;预后

Abstract:

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基金项目(Foundation):

作者(Author): 王学忠,邵旭武,王岳松,汪韶君,樊琴,方永华,夏金发,张先林

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