电击伤患者心电图参数评估
Assessment of electrocardiographic parameters in patients with electrocution injury.
作者信息
Karataş Mehmet Baran, Onuk Tolga, Güngör Barış, İpek Göktürk, Özcan Kazım Serhan, Kaplangöray Mustafa, Çanga Yiğit, Durmuş Gündüz, Çakıllı Yasin, Bolca Osman
机构信息
Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey.
Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey.
出版信息
J Electrocardiol. 2015 Sep-Oct;48(5):809-14. doi: 10.1016/j.jelectrocard.2015.06.009. Epub 2015 Jun 25.
BACKGROUND
Electrocution injury (EI) is a major problem in developing countries. The aim of this study is to investigate the effect of EI on electrocardiographic (ECG) parameters.
METHODS
A total of 43 patients hospitalized with diagnosis of EI were prospectively enrolled. Admission ECGs were compared with follow-up ECGs obtained one month after the event.
RESULTS
Maximum P wave duration (Pmax), minimum P wave duration (Pmin), P wave dispersion (PWD), PR interval, QRS complex duration, corrected QT duration (QTc), QT dispersion (QTD), T peak to T end (Tp-e) interval were longer and Tp-e interval/QT and Tp-e interval/QTc ratios were higher on admission ECGs compared to follow-up ECGs. Frontal QRS-T angle and frequency of patients with fragmented QRS were also higher on admission ECGs.
CONCLUSION
Our study revealed that EI causes significant deterioration of admission ECG parameters. The clinical use of these parameters in prediction of arrhythmias after EI warrants further studies.
背景
触电损伤（EI）在发展中国家是一个主要问题。本研究的目的是调查EI对心电图（ECG）参数的影响。
方法
前瞻性纳入43例诊断为EI的住院患者。将入院时的心电图与事件发生后1个月获得的随访心电图进行比较。
结果
与随访心电图相比，入院心电图的最大P波时限（Pmax）、最小P波时限（Pmin）、P波离散度（PWD）、PR间期、QRS波群时限、校正QT间期（QTc）、QT离散度（QTD）、T波峰至末（Tp-e）间期更长，Tp-e间期/QT和Tp-e间期/QTc比值更高。入院心电图的额面QRS-T夹角和碎裂QRS患者的频率也更高。
结论
我们的研究表明，EI会导致入院心电图参数显著恶化。这些参数在预测EI后心律失常中的临床应用值得进一步研究。
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