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目的分析探讨2型糖尿病并发急性心肌梗死时心电图特点,提高早期诊断率。方法选取我院2型糖尿病合并心肌梗死患者48例为研究组,另外随机选取我院30例不伴有糖尿病的急性心肌梗死患者作为对照组,分析2组患者出现急性心肌梗死时的心电图特征及差异。结果研究组较对照组更多出现心律失常、ST段改变、非Q波性梗死,心肌梗死范围更大。结论 2型糖尿病合并心肌梗死由于临床症状不典型、心电图表现不典型更易误诊漏诊,应注意心电图其他非特异性改变,提高早期诊断率。
Objective To analyze the characteristics of electrocardiogram (ECG) in type 2 diabetes complicated with acute myocardial infarction and improve the early diagnosis rate. Methods Forty-eight patients with type 2 diabetes mellitus and myocardial infarction in our hospital were selected as the study group. In addition, 30 patients with acute myocardial infarction without diabetes mellitus were randomly selected as the control group, and the electrocardiogram characteristics of acute myocardial infarction difference. Results Compared with the control group, the study group had more arrhythmia, ST segment changes, non-Q-wave infarction, and myocardial infarction. Conclusions Type 2 diabetes mellitus complicated with myocardial infarction may be misdiagnosis and missed diagnosis due to atypical clinical symptoms and atypical electrocardiogram. We should pay attention to other nonspecific changes of ECG and improve the early diagnosis rate.