实用医学影像杂志2024,Vol.25Issue(6) :409-412.DOI:10.16106/j.cnki.cn14-1281/r.2024.06.002

超声心动图与常规心电图检查对肥厚型心肌病的诊断效能

Comparison of echocardiography and conventional electrocardiogram in the diagnosis of hypertrophic cardiomyopathy

宗璐 曹永峰
实用医学影像杂志2024,Vol.25Issue(6) :409-412.DOI:10.16106/j.cnki.cn14-1281/r.2024.06.002

超声心动图与常规心电图检查对肥厚型心肌病的诊断效能

Comparison of echocardiography and conventional electrocardiogram in the diagnosis of hypertrophic cardiomyopathy

宗璐 1曹永峰1
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作者信息

  • 1. 455000 河南省濮阳市安阳地区医院超声科
  • 折叠

摘要

目的 比较超声心动图与常规心电图检查对肥厚型心肌病的诊断效能.方法 随机抽样选择濮阳市安阳地区医院2022 年 3月至 2023 年 12月 114 例疑似肥厚型心肌病患者,均经超声心动图与常规心电图检查,以磁共振检查结合临床诊断为"金标准",比较超声心动图与常规心电图检查对肥厚型心肌病的诊断效能.结果 本研究中以磁共振检查结合临床诊断为"金标准",114 例疑似肥厚型心肌病患者中,80 例阳性,确诊为肥厚型心肌病.超声心动图诊断肥厚型心肌病的灵敏度、准确度、阴性预测值高于常规心电图检查(P<0.05).肥厚型心肌病患者左心室心肌最大厚度、左心房收缩期内径大于无肥厚型心肌病患者(P<0.05).结论 超声心动图在诊断肥厚型心肌病方面表现出更高的灵敏度、准确度和阴性预测值,相较于常规心电图检查具有更好的诊断效能.因此,在临床实践中,超声心动图可能是更有效的诊断工具,特别是对于怀疑肥厚型心肌病的患者.

Abstract

Objective To compare the diagnostic efficacy of echocardiography and conventional electrocardio-gram for hypertrophic cardiomyopathy.Methods A total of 114 patients with suspected hypertrophic cardiomyopathy in Anyang District Hospital of Puyang City from March 2022 to December 2023 were selected.They were examined by echocardiography and conventional electrocardiogram,and the"gold standard"was MRI combined with clinical diag nosis.The diagnostic efficacy of echocardiography and conventional electrocardiogram for hypertrophic-cardiomyopathy was compared.Results Among 114 patients with suspected hypertrophic cardiomyopathy,80 cases were positive,and were diagnosed as hypertrophic cardiomyopathy.The sensitivity,accuracy,and negative predictive value of echocardiog-raphy in the diagnosis of hypertrophic cardiomyopathy were higher than those of routine electrocardiogram(P<0.05).The maximum left ventricular myocardial thickness and left atrial systolic diameter in patients with hypertrophic cardiomyopathy were greater than those in patients without hypertrophic cardiomyopathy(P<0.05).Conclusion Ehocardiography shows higher sensitivity,accuracy,and negative predictive value in the diagnosis of hypertrophic cardiomyopathy,and has better diagnostic efficacy than conventional electrocardiogram.Therefore,in clinical practice,echocardiography may be a more effective diagnostic tool,especially for patients suspected of having hypertrophic cardi-omyopathy.

关键词

肥厚型心肌病/超声心动图/心电图

Key words

Hypertrophic cardiomyopathy/Echocardiography/Electrocardiogram

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出版年

2024
实用医学影像杂志
中华医学会山西分会,山西省人民医院

实用医学影像杂志

影响因子:0.735
ISSN:1009-6817
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