Prognostic significance of T-Wave direction in lead a VR on the admission electrocardiography in patients with acute anterior wall ST-elevation myocardial infarction treated by primary percutaneous coronary intervention

Gong meifang; Liu fang; Ren fengxue

您当前的位置：

首页 >

文章列表页 >

Prognostic significance of T-Wave direction in lead a VR on the admission electrocardiography in patients with acute anterior wall ST-elevation myocardial infarction treated by primary percutaneous coronary intervention

更新时间：2025-10-15

- Prognostic significance of T-Wave direction in lead a VR on the admission electrocardiography in patients with acute anterior wall ST-elevation myocardial infarction treated by primary percutaneous coronary intervention
- Vol. 24, Issue 1, Pages: 23-26(2015)
- 作者机构：
  
  航空总医院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R542.22
- Published：2015
- 稿件说明：
移动端阅览
[1]弓梅芳,刘芳,任凤学.急诊PCI患者aVR导联T波方向的预后意义[J].临床心电学杂志,2015,24(01):23-26.

Gong meifang, Liu fang, Ren fengxue. Prognostic significance of T-Wave direction in lead a VR on the admission electrocardiography in patients with acute anterior wall ST-elevation myocardial infarction treated by primary percutaneous coronary intervention[J]. 2015, 24(1): 23-26.
[1]弓梅芳,刘芳,任凤学.急诊PCI患者aVR导联T波方向的预后意义[J].临床心电学杂志,2015,24(01):23-26. DOI：

Gong meifang, Liu fang, Ren fengxue. Prognostic significance of T-Wave direction in lead a VR on the admission electrocardiography in patients with acute anterior wall ST-elevation myocardial infarction treated by primary percutaneous coronary intervention[J]. 2015, 24(1): 23-26. DOI：

摘要

目的探讨急性前壁ST段抬高心肌梗死行急诊经皮冠脉介入治疗（PCI）患者

入院心电图中aV R导联T波方向与预后的关系。方法排除不符合病例后

共91名急性前壁ST段抬高性心肌梗死行急诊PCI患者入选。基于入院时的心电图

患者被分为T波正向组（n=20

组1）和T波负向组（n=71

组2）

所用的患者的临床特点、急诊PCI结果及院内临床事件被记录。结果 T波正向的患者比T波负向患者的年龄更大

住院期间的死亡率更高（15%vs.1.4%p=0.03）。结论急性前壁ST段抬高性心肌梗死行急诊介入治疗的患者

aV R导联T波正向与院内升高的死亡率相关。

Abstract

Objective We sought to determine the prognostic value of T wave in lead a VR on admission electrocardiography(ECG) for in-hospital mortality in patients with acute anterior wall STEMI treated with primary Percutaneous Coronary Intervention(PCI). Methods After exclusion

91 consecutive patients with acute anterior wall ST-elevation myocardial infarction treated by PCI were prospectively enrolled in this study. Patients were classified as a T-wave positive(n = 20

group 1) or T-wave negative(n = 71

group 2) in a VR based on the admission ECG. All patients were evaluated with respect to clinical features

primary PCI findings

and in-hospital clinical results. Results T-wave positive patients were older than T-wave negative patients. In-hospital mortality tended to be higher in the group 1 when compared with group 2(15% vs. 1.4% respectively

p= 0.03). Conclusions T-wave positivity in lead a VR among patients with an anterior wall STEMI treated with primary PCI is associated with an increase in hospital mortality.

关键词

Keywords

references

Significance of lead aVR in acute coronary syndrome [J]. Akira Tamura. World Journal of Cardiology . 2014(07)

ECG Diagnosis and Classification of Acute Coronary Syndromes [J] . Yochai Birnbaum,James Michael Wilson,Miquel Fiol,Antonio Bayés Luna,Markku Eskola,Kjell Nikus. Annals of Noninvasive Electrocardiology . 2014 (1)

A new ST-segment elevation myocardial infarction equivalent pattern? Prominent T wave and J-point depression in the precordial leads associated with ST-segment elevation in lead aVr [J] . Mathew Goebel,Joseph Bledsoe. American Journal of Emergency Medicine . 2013

The forgotten lead: Does aVR ST-deviation add insight into the outcomes of ST-elevation myocardial infarction patients? [J] . Aws Alherbish,Cynthia M. Westerhout,Yuling Fu,Harvey D. White,Christopher B. Granger,Galen Wagner,Paul W. Armstrong. American Heart Journal . 2013

Prognostic Significance of T‐Wave Amplitude in Lead aVR on the Admission Electrocardiography in Patients with Anterior Wall ST‐Elevation Myocardial Infarction Treated by Primary Percutaneous Intervention [J] . Erkan Ayhan,Turgay Is?k,Huseyin Uyarel,Mehmet Ergelen,Gokhan Cicek,Bahman Ghannadian,Mehmet Eren. Annals of Noninvasive Electrocardiology . 2012 (1)

Associations of positive T wave in lead aVR with hemodynamic, coronary, and left ventricular angiographic findings in anterior wall old myocardial infarction [J] . Kazuhiro Shinozaki,Akira Tamura,Junichi Kadota. Journal of Cardiology . 2011 (2)

ST-Segment Deviation in Lead aVR on Admission Is Not Associated With Left Ventricular Function at Predischarge in First Anterior Wall ST-Segment Elevation Acute Myocardial Infarction [J] . Yukie Goto,Akira Tamura,Munenori Kotoku,Junichi Kadota. The American Journal of Cardiology . 2011 (5)

Value of lead aVR in predicting acute occlusion of proximal left anterior descending coronary artery and in-hospital outcome in ST-elevation myocardial infarction: an electrocardiographic predictor of poor prognosis [J] . Nazif Aygul,Kurtulus Ozdemir,Mehmet Tokac,Meryem Ulku Aygul,Mehmet Akif Duzenli,Adnan Abaci,Ahmet Bacaksiz,Hüseyin Yazici,Sait Bodur. Journal of Electrocardiology . 2008 (4)

The Prognostic Value of T Wave Amplitude in Lead aVR in Males [J] . Swee Y.Tan,GregoryEngel,JonathanMyers,MarcusSandri,Victor F.Froelicher. Annals of Noninvasive Electrocardiology . 2008 (2)

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Significance of the upright T wave in precordial leads in patients with acute myocardial infarction

Effects of bivalirudin combined with PCI on myocardial perfusion Hu yanjun, Hu zhenxing, Zhang dexing. Fanxian Third People’s Hospital, Henan Puyang,457500,China.

The difference of T wave amplitude between different genders in normal people

Related Author

Sun yumin

Wang jun

Zhou yun

Huang shaohua

Tong huan

Jiang wei

Hu yanjun

Zhang dexing

Related Institution

Jing’an District Central Hospital

Fanxian Third People’s Hospital

Yuebei people’s Hospital

The clinic of Northwest University of political science and law

⁰