| Autor: |
YANG Duojun, LIU Jinghan |
| Jazyk: |
čínština |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
Jichu yixue yu linchuang, Vol 44, Iss 11, Pp 1569-1572 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
1001-6325 |
| DOI: |
10.16352/j.issn.1001-6325.2024.11.1569 |
| Popis: |
Objective To investigate the relationship between dynamic electrocardiogram P-wave sign and new-onset atrial fibrillation (NOAF) in patients with acute myocardial infarction (AMI)(AMI-NOAF). Methods Totally 240 patients with AMI admitted to Wuwei Cancer Hospital were examined by dynamic electrocardiogram. P-wave sign parameters and clinical data of holter electrocardiogram were collected. The relationship between P-wave sign and clinical parameters of AMI patients was analyzed. The patients were divided into NOAF group and nonoccurrence(non-NOAF) group and multivariate Logistic regression model was used to identify the influencing factors of NOAF occurrence in AMI. Results Killip Ⅲ-Ⅳ grade minimum P wave duration (Pmin) level was shorter than that of Ⅰ-Ⅱ grade. Maximum P wave duration (Pmax) and P wave dispersion (Pd) level were higher than that of Ⅰ-Ⅱ grade(P＜0.05). NOAF occurred in 47 of 240 AMI patients (19.58%). The level of Pmin in NOAF group was lower than that in non-NOAF group, and the level of Pmax and Pd in NOAF group was higher than that in non-NOAF group(P＜0.05). The heart rate and the proportion of Killip grade Ⅲ-Ⅳ in NOAF group were higher than those in non-NOAF group(P＜0.05). Multivariate Logistic regression analysis showed that Killip Ⅲ-Ⅳgrade, high level of Pmax and Pd were independent risk factors for NOAF in AMI (P＜0.05). Conclusions The level of Pmin, Pmax and Pd are correlated with Killip grading in AMI patients. AMI-NOAF patients have abnormal P-wave sign in holter electrocardiogram. The high levels of Pmax and Pd are independent risk factors of AMI and NOAF. |
| Databáze: |
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