急诊PCI患者aVR导联T波方向的预后意义

弓梅芳; 刘芳; 任凤学

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急诊PCI患者aVR导联T波方向的预后意义

临床研究 | 更新时间：2025-10-15

- 急诊PCI患者aVR导联T波方向的预后意义
- 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
- 临床心电学杂志 2015年24卷第1期页码：23-26
- 作者机构：
  
  航空总医院
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R542.22
- 纸质出版：2015
- 稿件说明：
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[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)

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