摘要：目的 探讨窦性心律震荡现象对急性心肌梗死的影响.方法 分析急性心肌梗死(98例)与对照组(30例),急性心肌梗死存活组(75例)与死亡组(23例)的24 h动态心电图,比较各组间的心律震荡(HRT)的震荡初始(TO)和震荡斜率(TS).结果 ①与对照组TO、TS比较,急性心肌梗死组TO值高、TS值低,差异均有统计学意义(P＜0.05);②与急性心肌梗死存活组TO、TS比较,死亡组TO值高、TS值低,差异均有统计学意义(P＜0.05).结论 窦性心律震荡现象可作为急性心肌梗死死亡率的预测指标. Abstract： Objective To investigate the clinical value of heart rate turbulence(HRT) in acute myocardial infarction ( AMI). Methods HRT onset (TO) and HRT slope (TS) were calculat ed based on holter recorded in 75 survivors of AMI,23 cases died of AMI and 30 normal subjects.Results ①TO was higher and TS was lower in AMI patients than in normal subjects. ②TO was higher and TS was lower in cases died of AMI than in survivors of AMI. Conclusions HRT is relative to death and prognosis of with AMI.

关键词：急性心肌梗死 窦性心律 震荡现象 临床分析 acute 

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