[1]王功旭,陈亮,李林辉,等.静息心电图ST-T异常及应激性血糖升高比值与急性左心衰短期预后的相关性[J].中国医学物理学杂志,2025,42(4):505-509.[doi:10.3969/j.issn.1005-202X.2025.04.012]
　WANG Gongxu,CHEN Liang,LI Linhui,et al.Resting electrocardiogram ST-T abnormality and stress hyperglycemia ratio are positivelycorrelated with short-term prognosis of acute left heart failure[J].Chinese Journal of Medical Physics,2025,42(4):505-509.[doi:10.3969/j.issn.1005-202X.2025.04.012]
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静息心电图ST-T异常及应激性血糖升高比值与急性左心衰短期预后的相关性()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
42
期数:
2025年第4期
页码:
505-509
栏目:
医学信号处理与医学仪器
出版日期:
2025-04-20

文章信息/Info

Title:
Resting electrocardiogram ST-T abnormality and stress hyperglycemia ratio are positivelycorrelated with short-term prognosis of acute left heart failure
文章编号:
1005-202X（2025）04-0505-05
作者:
王功旭 1; 陈亮 1; 李林辉 2; 陈宝 3
1. 湘南学院附属医院急诊科，湖南 郴州 423000；2. 湘南学院附属医院心血管内科，湖南 郴州 423000；3. 湘南学院附属医院，湖南 郴州 423000
Author(s):
WANG Gongxu1;  CHEN Liang1;  LI Linhui2;  CHEN Bao3
1. Department of Emergency, Affiliated Hospital of Xiangnan University, Chenzhou 423000, China; 2. Department of Cardiology,Affiliated Hospital of Xiangnan University, Chenzhou 423000, China; 3. Affiliated Hospital of Xiangnan University, Chenzhou 423000,China
关键词:
静息心电图; 应激性血糖升高比值; 急性左心衰; 预后; 相关性
Keywords:
resting electrocardiogram;  stress hyperglycemia ratio;  acute left heart failure;  prognosis;  correlation
分类号:
R541.6
DOI:
10.3969/j.issn.1005-202X.2025.04.012
文献标志码:
A
摘要:
目的：探讨静息心电图ST-T异常及应激性血糖升高比值（SHR）与急性左心衰（ALHF）短期预后的相关性。方法：收集 125 例 ALHF 患者的临床资料，根据发病 30 d 内预后情况分为预后良好组（n=59）、预后不良组（n=42）、死亡组（n=24）。收集3组静息心电图指征及入院即刻血糖、次日空腹糖化血红蛋白，计算SHR，分析静息心电图ST-T异常及SHR与ALHF短期预后的相关性。结果与结论：3组患者性别、血压等一般资料比较无统计学差异（P>0.05），但预后良好组年龄低于死亡组（P<0.05）。预后良好组静息心电图ST-T异常率、QRS波群时限、QTc间期均低于预后不良组和死亡组（P<0.05），且预后不良组低于死亡组（P<0.05）。预后良好组SHR低于预后不良组和死亡组（P<0.05），且预后不良组低于死亡组（P<0.05）。多因素Logistic回归分析显示，ST-T异常、QRS波群时限延长、QTc间期延长、SHR高值均为影响ALHF患者预后不良发生的独立危险因素（P<0.05）。静息心电图ST-T异常、SHR与ALHF短期预后均呈现显著正相关。
Abstract:
Objective To investigate the correlations of resting electrocardiogram ST-T abnormality and stress hyperglycemiaratio (SHR) with short-term prognosis of acute left heart failure (ALHF). Methods The clinical data of 125 patients withALHF were analyzed. According to the prognosis within 30 days after onset, the patients were divided into good prognosisgroup (n=59), poor prognosis group (n=42) and death group (n=24). The resting electrocardiogram indications, admissionblood glucose and glycosylated hemoglobin at fasting on the next day were collected, and SHR was calculated for exploringthe correlations of resting electrocardiogram ST-T abnormality and SHR with short-term prognosis of ALHF. Results andconclusion The differences in gender, blood pressure and other general data among 3 groups were trivial (P>0.05), but deathgroup was at an older age as compared with good prognosis group (P<0.05). The resting electrocardiogram ST-T abnormalityrate, QRS wave duration and QTc interval were lower/shorter in good prognosis group than in the other two group (P<0.05),and the above indicators were lower/shorter in poor prognosis group than in death group (P<0.05). Good prognosis group hadthe lowest SHR, followed by poor prognosis group and death group (P<0.05). Multivariate Logistic regression analysisrevealed that ST-T abnormality, prolonged QRS wave duration, prolonged QTc interval and high SHR were independent riskfactors for poor prognosis in ALHF patients (P<0.05). Resting electrocardiogram ST-T abnormality and SHR weresignificantly and positively correlated with ALHF short-term prognosis.

备注/Memo

备注/Memo:
【收稿日期】2024-10-26【基金项目】湖南省自然科学基金（2022JJ30938）【作者简介】王功旭，主治医师，研究方向：心血管疾病急诊，E-mail: wang06412@163.com【通信作者】陈宝，E-mail: gao20202024@163.com
更新日期/Last Update: 2025-04-30