
浏览全部资源
扫码关注微信
目的 探讨24小时动态心电图参数联合血清脑钠肽(BNP)、C反应蛋白(CRP)对急性心肌梗死(AMI)患者经皮冠状动脉介入(PCI)术后恶性心律失常(MVA)的预测价值。方法 选择2020年6月至2023年6月安远县人民医院收治的179例行PCI治疗的急性心肌梗死患者,根据PCI术后72小时内是否发生MVA将患者分为MVA组(n=50)和非MVA组(n=129)。术前行24小时动态心电图检查获得相关参数,并检测BNP、CRP水平。受试者工作特征(ROC)曲线分析24小时动态心电图参数联合血清BNP、CRP对PCI术后MVA的预测价值。结果 MVA组24小时QT间期变异性(24h-QTV)、24小时正常心房开始除极到心室开始除极时间(RR)间期标准差(SDNN)、24小时连续5分钟正常RR间期标准差(SDANN-index)、24小时连续5分钟正常RR间期标准差均值(SDNN-index)低于非MVA组(P<0.05),血清BNP、CRP水平高于非MVA组(P<0.05)。二十四小时QTV、SDNN、SDANN-index、SDNN-index、BNP、CRP预测急性心肌梗死患者PCI术后MVA的曲线下面积为0.723、0.726、0.758、0.762、0.803、0.658,联合预测曲线下面积为0.928,高于单独预测。结论 急性心肌梗死PCI术后MVA患者24小时QTV、SDNN、SDANN-index、SDNN-index降低,血清BNP、CRP水平增高。二十四小时动态心电图参数联合血清BNP、CRP对PCI术后MVA风险具有较高预测价值。
谢伟,胡立涛,陈海涛,吴积团,陶成敏.急性心肌梗死患者经皮冠状动脉介入术后冠状动脉慢血流/无复流预测模型的构建研究[J].中国心血管病研究,2023(09).
李永慧,王小玲,原文龙,王蕾,屈艳玲.血清25-羟维生素-D3超敏C反应蛋白及心电图参数与ST段抬高型心肌梗死患者介入治疗后发生恶性心律失常的关系[J].河北医学,2023(02).
吕海玉,林慧君,黎檀香,薛凤秀,陈瑶瑶.血清脑钠肽、超敏C反应蛋白、可溶性ST2对阵发性心房颤动患者射频消融术后复发的预测价值研究[J].现代生物医学进展,2023(03).
周灿富,梁军,杨保生.急性心肌梗死合并心力衰竭患者血清PCT、BNP水平变化及其与心功能的相关性[J].海南医学,2023(01).
热依拉·阿布来提,麦合布拜木·麦麦提,买热依木·阿布都热依木,阿力木江·阿布都热依木,刘志强.血清BNP、cTnI与ACS患者PCI术后严重心律失常的相关性[J].中南医学科学杂志,2022(06).
侯娜.动态心电图诊断冠心病患者心肌缺血与心律失常的价值[J].实用临床医药杂志,2022(10).
张文婷,李方江,要彤,邹芳,刘玉玉,房志琴,任淑珍,张爱婷,程佳媛.碎裂QRS波群与陈旧性心肌梗死患者心率变异性分析及室性心律失常发生情况的关系[J].中国综合临床,2021(06).
王雲,沈琳,马子霖,丁林委,陈鸿莉,李绵绵,艾尔扎提·艾尔宝,张帅,乔思雨,徐佳悦.室性心律失常与心率变异性的中西医研究进展[J].中西医结合心脑血管病杂志,2021(17).
马明仁,蔡晓庆,张鹏,原斌,焦丕奇,马凌,王菲.336例COVID-19患者心律失常与炎症因子相关性分析[J].西北国防医学杂志,2021(07).
权明珠,李翔,俞伟.24 h动态心电图检查在起搏器植入心律失常诊断中的应用价值[J].临床和实验医学杂志,2021(07).
韩晓娟.BNP、HRV和ECG在心律失常诊断中的作用[J].空军医学杂志,2019(01).
徐辽杭,程震锋,李国洪,彭继仁,金美娟.急性心肌梗死患者经冠脉介入术后恶性心律失常的危险因素分析[J].中国临床保健杂志,2018(02).
刘发娣,郭琳娟,洪葵.全身炎症反应和心律失常风险相关性研究进展[J].临床心血管病杂志,2017(08).
Junhui Shi,Wei Wang,Yongfang Sun,Minzhi Zhou,Jiang Liu.Diagnostic Value of cTnl, NT-pro BNP, and Combined Tests in Acute Myocardial Infarction Patients[J].Alternative Therapies in Health and Medicine,2023.
Duca ȘtefaniaTeodora,Roca Mihai,Costache AlexandruDan,Chetran Adriana,Afrăsânie Irina,Miftode RaduȘtefan,Tudorancea Ionuț,Matei Iulian,Ciorap RaduGeorge,Mitu Ovidiu,Bădescu Minerva Codruța,IliescuHalitchi Dan,HalițchiIliescu CodruțaOlimpiada,Mitu Florin,Lionte Cătălina,Costache IrinaIuliana.T-Wave Analysis on the 24 h Holter ECG Monitoring as a Predictive Assessment of Major Adverse Cardiovascular Events in Patients with Myocardial Infarction: A Literature Review and Future Perspectives.[J].Life (Basel, Switzerland),2023.
Wang Xianpei,Wei Lifang,Wu Ying,Yan Juanjuan,Zhao Linwei,Yue Xinjie,Gao Chuanyu.ST-segment elevation predicts the occurrence of malignant ventricular arrhythmia events in patients with acute ST-segment elevation myocardial infarction.[J].BMC cardiovascular disorders,2023.
Oremek G M,Passek K,Holzgreve F,von der Eltz V,Dröge J.[The biomarkers BNP and NT-proBNP].[J].Zentralblatt fur Arbeitsmedizin, Arbeitsschutz und Ergonomie,2023.
Buerke Michael,Sheriff Ahmed,Garlichs Christoph D.[CRP apheresis in acute myocardial infarction and COVID-19].[J].Medizinische Klinik, Intensivmedizin und Notfallmedizin,2022.
Wongthida Thanutorn,Lumkul Lalita,Patumanond Jayanton,Wongtheptian Wattana,Piyayotai Dilok,Phinyo Phichayut.Development of a Clinical Risk Score for Prediction of Life-Threatening Arrhythmia Events in Patients with ST Elevated Acute Coronary Syndrome after Primary Percutaneous Coronary Intervention[J].International Journal of Environmental Research and Public Health,2022.
Alkouri Ahmad,Cybularz Maria,Mierke Johannes,Nowack Thomas,Biedermann Jonathan,Ulbrich Stefan,Fischer Julia,Heidrich Felix M,Jellinghaus Stefanie,Speiser Uwe,Linke Axel,Pfluecke Christian.The predictive role of early CRP values for one-year mortality in the first two days after acute myocardial infarction.[J].Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals,2022.
Oprescu Nicoleta,Micheu Miruna Mihaela,ScafaUdriste Alexandru,PopaFotea NicoletaMonica,Dorobantu Maria.Inflammatory markers in acute myocardial infarction and the correlation with the severity of coronary heart disease.[J].Annals of medicine,2021.
Cheang Stefanie,LeLorier Paul,Gajewski Kelly.Diffuse ST-Segment Elevation With Idiopathic Malignant Ventricular Arrhythmia[J].Circulation,2021.
Shen Shenghui,Ye Jianhua,Wu Xiangzhong,Li Xiaoling.Association of N-terminal pro-brain natriuretic peptide level with adverse outcomes in patients with acute myocardial infarction: A meta-analysis[J].Heart & Lung,2021.
Valizadeh Abbas,Soltanabadi Sahar,Koushafar Saeed,Rezaee Maryam,Jahankhah Reza.Comparison of QT dispersion in patients with ST elevation acute myocardial infarction (STEMI) before and after treatment by streptokinase versus primary percutaneous coronary intervention (PCI)[J].BMC Cardiovascular Disorders,2020.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA hubers.scott@mayo.edu.,Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.,Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.,Cardiorenal Research Laboratory, Mayo Clinic, Rochester, Minnesota, USA.,Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.,Cardiorenal Research Laboratory, Mayo Clinic, Rochester, Minnesota, USA.,Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.,Cardiorenal Research Laboratory, Mayo Clinic, Rochester, Minnesota, USA.,Department of Health Sciences Research, Mayo Clinic, Jacksonville, Florida, USA.,Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.,Cardiorenal Research Laboratory, Mayo Clinic, Rochester, Minnesota, USA..B-type natriuretic peptide and cardiac remodelling after myocardial infarction: a randomised trial.[J].Heart (British Cardiac Society),2020.
Zandstra Tjitske,Kiès Philippine,Man Sum-Che,Maan Arie,Bootsma Marianne,Vliegen Hubert,Egorova Anastasia,Holman Eduard,Schalij Martin,Jongbloed Monique.QT interval variability and heart rate turbulence are associated with clinical characteristics in congenital heart disease patients with a systemic right ventricle.[J].Journal of cardiology,2020.
Li Hui,Fu Du-Guan,Liu Fu-Yuan,Zhou Heng,Li Xiao-Mei.Evaluation of related factors, prediction and treatment drugs of no-reflow phenomenon in patients with acute ST-segment elevation myocardial infarction after direct PCI.[J].Experimental and therapeutic medicine,2018.
Kuck K H,Hanrath P,Lubda J,Mathey D,Bleifeld W.[Anti-arrhythmic effect of tocainide (lidocaine congener) on ventricular arrhythmias (author's transl)].[J].Deutsche medizinische Wochenschrift (1946),1979(48).
0
Views
61
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621