Elektrokardiogrammu izmaiņu korelācija ar plaušu artērijas trombembolijas klīnisko smaguma pakāpi.
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Date
2022
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Tika veikts retrospektīvs šķērsgriezuma pētījums, kurā tika atlasīti 67 pacienti, kuriem bija noteikta diagnoze - plaušu artēriju trombembolija. Tika apkopti dati par šo pacientu hemodinamisko stāvokli, labā kambara izmaiņām, troponīna līmeni, izvērtēti dati un aprēķināta PESI skala. Tika analizētas pirmreizējās elektrokardiogrammas un pierakstītas izmaiņas tajās.
Pētījuma mērķis - Izpētīt elektrokardiogrammu korelāciju pacientiem ar plaušu artērijas trombemboliju atkarībā no klīniskās smaguma pakāpes, ievākt literatūras datus par biežākajām izmaiņām.
Analizējot pētījumā iegūtos datus tika novērota tendence divās elektrokardiogrammu izmaiņās- hisa kūlīša labā zara blokādē un nespecifiskām St-T segmenta izmaiņās.
Pārējām apskatītajām izmaiņām, kā intraarteriāla aritmija, hisa kūlīša kreisā zara pilnai blokāde, hisa kūlīša kreisā zara mugurējās kājiņas blokāde, hisa kūlīša kreisā zara priekšējās kājiņas blokāde, hisa kūlīša labā zara nepilnai blokādei, akūta labā kambara pārslodzes pazīme (S1Q3T3), sinusa tahikardija un T viļņa inversija un St segmenta depresija V1-V4 krūšu novadījumos, pētījumā netika atrasta statistiski ticama sakarība (p>0,05).
A retrospective cross-sectional study was performed on 67 patients diagnosed with pulmonary embolism. Data on hemodynamic status, right ventricular changes, and troponin levels in these patients were collected and evaluated and the PESI scale was calculated. First electrocardiograms were analysed, and changes were recorded. The aim of the study was to investigate the correlation of electrocardiograms in patients with pulmonary artery thromboembolism depending on the clinical severity and to collect literature data on the most common changes. Analysing the data obtained in the study, a tendency was observed for two changes in the electrocardiograms - blockade of the right branch of the bundle and non-specific changes in the St-T segment. Other changes considered, such as intraartrial arrhythmia, left bundle branch block, incomplete left bundle branch block, incomplete right bundle branch block, acute right ventricular overload, T-wave inversion, and St-segment depression in the V1-V4 chest leads were not found to be statistically significant (p> 0.05).
A retrospective cross-sectional study was performed on 67 patients diagnosed with pulmonary embolism. Data on hemodynamic status, right ventricular changes, and troponin levels in these patients were collected and evaluated and the PESI scale was calculated. First electrocardiograms were analysed, and changes were recorded. The aim of the study was to investigate the correlation of electrocardiograms in patients with pulmonary artery thromboembolism depending on the clinical severity and to collect literature data on the most common changes. Analysing the data obtained in the study, a tendency was observed for two changes in the electrocardiograms - blockade of the right branch of the bundle and non-specific changes in the St-T segment. Other changes considered, such as intraartrial arrhythmia, left bundle branch block, incomplete left bundle branch block, incomplete right bundle branch block, acute right ventricular overload, T-wave inversion, and St-segment depression in the V1-V4 chest leads were not found to be statistically significant (p> 0.05).
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Plaušu artēriju trombembolija, elektrokardiogramma, Pulmonary embolism, electrocardiogram