The Correlation of T peak-T end Interval and Ventricular Arrhythmia in Patients with Acute Myocardial Infarction
10.3969/j.issn.0253-9896.2013.08.001
- VernacularTitle:急性心肌梗死患者T波峰-末间期与室性心律失常的关系*
- Author:
Xiangming JIANG
;
Hongmin ZHAO
;
Zhenguo JI
;
Gang LIU
;
Lina LIU
- Publication Type:Journal Article
- Keywords:
myocardial infarction;
acute disease;
arrhythmias,cardiac;
action potentials;
electrocardiography;
Tp-Te interval;
Tp-Te interval dispersion;
transmural dispersion of replorization
- From:
Tianjin Medical Journal
2013;(8):740-743
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship of T peak-T end (Tp-Te) interval and Tp-Te interval disper-sion (Tp-Ted) in different periods of myocardial ischemia in patients with acute myocardial infarction (AMI), and to assess the clinical significance of Tp-Te and Tp-Ted for prediction of the ventricular arrhythmia (VA). Methods A total of 80 pa-tients with AMI were enrolled in the study. The sizes and changes of Tp-Te and Tp-Ted were observed during the acute phase and recovery phase in patients. The differences of Tp-Te and Tp-Ted were compared between ventricular tachycardia group (A group), ventricular premature beats group (B group) and non- ventricular arrhythmia group (C group). Results The values of Tp-Te and Tp-Ted were obviously longer in acute period [(125.22±17.70) ms and (54.76±13.26) ms] than those in recovery period[ (113.84±17.37) ms and (42.06±13.95)ms] (P<0.01). The values of Tp-Te and Tp-Ted were signifi-cantly longer in A group[ (134.82±19.56) ms and (62.00±15.19) ms] than those in B [(122.94±15.09) ms and (54.09±10.56) ms ]and C group [(110.09±15.21) ms and (45.27±9.85) ms]. The values were higher in B group than those of C group. Con-clusion The Tp-Te interval and Tp-Ted prolongated in acute phase than those of recovery phase in patients with AMI. Tp-Te interval and Tp-Ted can be used as an important index to predict VA in patients with AMI.
