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分析66例急性心肌梗塞(AMI)的临床左心功能与心电图V_1导联P波终末电势(Ptfv_1)的关系,探讨Ptfv_1不同标准诊断AMI左心功能不全的敏感性及特异性。结果提示,Ptfv_1<-0.04mm·S对于AMI左心功能不全的诊断是一个较好的指标,过感性77.4%、特异性97.1%。相关分析示AMIPtfv_1与左房内径(LA)呈负相关(r=-0.59.P<0.01),直线回归方程为:Ptfv_1=-0.0020LA+0.040,并对AMIPtfv_1异常的机理进行了探讨。
To analyze the relationship between the clinical left ventricular function and the P wave terminal potential (Ptfv_1) in 66 patients with acute myocardial infarction (AMI) and to investigate the sensitivity and specificity of Ptfv_1 criteria for diagnosing left ventricular dysfunction in AMI. The results suggest that, Ptfv_1 <-0.04mm · S for AMI diagnosis of left ventricular dysfunction is a good indicator of sensitivity 77.4%, specificity 97.1%. Correlation analysis revealed a negative correlation between AMIPtfv_1 and left atrial diameter (r = -0.59.P <0.01). The linear regression equation was: Ptfv_1 = -0.0020LA + 0.040, and the mechanism of AMIPtfv_1 abnormality Exploring.