The value of fragmented QRS complexes in the diagnosis of coronary heart disease ischemia

Gaoyanzi; Zhai suoling; Hong jiang; Zhang zhi; Liu shaowen

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The value of fragmented QRS complexes in the diagnosis of coronary heart disease ischemia

更新时间：2025-10-15

- The value of fragmented QRS complexes in the diagnosis of coronary heart disease ischemia
- Issue 4, Pages: 251-253(2022)
- 作者机构：
  
  1. 江苏省东台市第一人民医院
  2. 上海市第一人民医院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R541.4
- Published：2022
- 稿件说明：
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Gaoyanzi, Zhai suoling, Hong jiang, et al. The value of fragmented QRS complexes in the diagnosis of coronary heart disease ischemia[J]. 2022, (4): 251-253.
DOI：

Gaoyanzi, Zhai suoling, Hong jiang, et al. The value of fragmented QRS complexes in the diagnosis of coronary heart disease ischemia[J]. 2022, (4): 251-253. DOI：

摘要

目的探讨碎裂QRS波对冠心病心肌缺血的诊断价值。方法选取常规体表心电图有碎裂QRS波的患者30例，心电图正常者40例，患者均行平板运动试验和冠状动脉血管造影。结果两组平板运动试验阳性例数和冠状动脉血管造影异常数均有明显差异（p<0.05），在碎裂QRS波组阳性患者明显高于正常组。结论碎裂QRS波可作为判断冠心病心肌缺血的标志之一。

Abstract

Objective To investigate the value of fragmented QRS complex in the diagnosis of coronary heart disease. Methods Treadmill exercise test was performed in 30 cases of conventional body surface electrocardiography（ECG） with fragmented QRS complex and 40 subjects with normal ECG. We compared the results of coronary angiography. Results There were significant differences in the number of positive cases of treadmill exercise test and abnormal angiography between the two groups（p<0.05）. The number of positive cases in patients had fragmented QRS complex significantly higher than that in the normal group. Conclusions Fragmented QRS complex can be used as a marker of myocardial ischemia in patients with coronary heart disease.

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references

碎裂QRS波与冠心病患者冠脉病变的关系[J]. 李星虹;莫新玲;谢福生;李全忠;陈建忠;夏中华;阳跃忠.广东医学,2010(08)

Fragmented left sided QRS in absence of bundle branch block: sign of left ventricular aneurysm.[J]. Reddy Chatla V R;Cheriparambill Kuruvilla;Saul Barry;Makan Majesh;Kassotis John;Kumar Awaneesh;Das Mithilesh Kumar.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc,2006(2)

ST segment depression on the 12-lead ECG: high risk patients and high risk electrocardiography.[J]. Morphet J.European heart journal,2002(3)

新概念心电图[M]. 郭继鸿.北京大学医学出版社,2014

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