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U波倒置与冠心病的关系,国外学者进行过尝识性研究,而对AMI中的价值则报道甚少。本文对14例U波倒置患者进行前瞻性观察及83例已确诊的AMI进行回顾性分析,以探讨U波倒置对早期诊断AMI的临床价值。 1 资料与方法 1.1 资料来源 14例U波倒置患者系以U波倒置为首发表现,伴或不伴有ST-T改变,经动态观察出现梗塞图形或经心肌血清酶证实的AMI,男9例,女5例,年龄52～79岁,平均68.5岁。有糖尿病史4例,高血压者7例。83例系选自近2年我院临床确诊的心电图资料完整的AMI患者。男56例,女27例,年龄47～76岁,平均66.8岁,本文资料均除外低钾及其它心脏病。
U wave inversion and coronary heart disease, foreign scholars conducted an understanding of the research, while the value of the AMI is reported very little. In this paper, 14 patients with U-wave inversion were prospectively observed and 83 cases of diagnosed AMI were retrospectively analyzed to investigate the clinical value of U wave inversion in the early diagnosis of AMI. 1 Materials and Methods 1.1 Source 14 cases of U wave inversion in patients with U wave inversion as the first performance, with or without ST-T changes, the dynamic observation of infarction pattern or myocardial enzyme confirmed AMI, 9 males , Female 5 cases, aged 52 to 79 years, mean 68.5 years old. 4 cases of history of diabetes, hypertension in 7 cases. 83 cases were selected from nearly 2 years in our hospital clinically diagnosed ECG complete AMI patients. 56 males and 27 females, aged 47 to 76 years, mean 66.8 years old, this article information except hypokalemia and other heart disease.