نبذة مختصرة : To investigate the relationship between electrocardiogram (ECG) and findings of serum protein, transaminase and chest computed tomography (CT) in male acequired immune deficiency syndrome (AIDS) patients. 122 male AIDS patients were divided into groups according to serum protein, transaminase detection and chest CT results. ECG detection results of different groups were compared and analyzed. Among 122 male AIDS patients, 75 patients had abnormal ECGs, with a prevalence of 61.48%. According to serum protein detection results, the proportion of male AIDS patients with decreased albumin was the highest, 38.52%. Tachyarrhythmia was significantly more prevalent in the decreased albumin and increased globulin group than in the normal serum protein group (χ2 = 10.710, p = 0.001). The incidence of tachyarrhythmia in the albumin reduction group was significantly higher than in the normal serum protein group (χ2 = 9.387, p = 0.002). Transaminase test results showed 19.67% of patients had elevated glutamic pyruvic transaminase (ALT) and glutamic oxaloacetic transaminase (AST). In the elevated AST group, the tachyarrhythmia incidence was significantly higher (χ2 = 11.484, p = 0.001), and significantly higher in the elevated ALT and AST groups than in the normal transaminase group (χ2 = 9.102, p = 0.003). Chest CT examination showed, 48.36% of patients had pulmonary inflammation. Tachyarrhythmia incidence was significantly higher in the pulmonary inflammation group than in the normal CT examination group (χ2 = 8.437, p = 0.004). As compared to the normal CT group, tachyarrhythmia was significantly more prevalent in the pulmonary tuberculosis group (χ2 = 4.323, p = 0.038). The incidence of abnormal ECG in male AIDS patients is significant. The high incidence of abnormal ECG in male AIDS patients is closely associated with albumin reduction, ALT elevation and pulmonary infection. Electrocardiogram monitoring can provide valuable reference and guidance for clinical diagnosis and treatment.
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