首页|多普勒彩色超声心动图与心电图对急性心肌梗死的诊断价值对比

多普勒彩色超声心动图与心电图对急性心肌梗死的诊断价值对比

Comparison of Diagnostic Value Between Doppler Color Echocardiography and Electrocardiogram in Acute Myocardial Infarction

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目的:本研究对比多普勒彩色超声心动图和心电图在急性心肌梗死(AMI)患者中的诊断效能.方法:选取2020年3月~2022年3月鹰潭市余江区人民医院收治的60例疑似AMI患者,本研究针对所有心肌梗死病例以冠状动脉造影为基准,对诊断流程进行了标准化评估.同时,统计对比两种检查措施在AMI患者中的诊断价值.结果:60例疑似AMI患者中,冠状动脉造影共检出41例;多普勒彩色超声心动图共检出40例,心电图共检出33例.以冠状动脉造影为检查的"金标准",多普勒彩色超声心动图检查AMI的灵敏度为95.12%(39/41)、准确度为95.00%[(39+18)/60]、阴性预测值为90.00%(18/20),高于心电图的73.17%(30/41)、76.67%[(30+16)/60]、59.26%(16/27),有统计学差异(P<0.05);Kappa检验显示:多普勒彩色超声心动图检查结果与"金标准"检查结果的一致性极好(Kappa值=0.886,P=0.000).结论:在急性心肌梗死(AMI)确诊过程中,多普勒彩色超声心动图优化了诊断的灵敏度和准确度.这一结论为临床实践提供了关键的指导,促进了诊断程序的效率提升和精确度增强,具有较高的诊断价值.
Objective:This study aims to compare the diagnostic efficacy of Doppler color echocardiography and electrocardiogram in patients with acute myocardial infarction(AMI)in detail.Methods:This study selected 60 suspected AMI(Acute Myocardial Infarction)patients treated at the Yujiang District People's Hospital,Yingtan City from March 2020 to March 2022.All cases of myocardial infarction were evaluated with coronary angiography as the benchmark.The diagnostic processes were standardized.Additionally,the study statistically compared the diagnostic value of two examination measures in patients with AMI.Results:Among the 60 suspected AMI patients,a total of 41 cases were detected by coronary angiography;A total of 40 cases were detected by Doppler color echocardiography,and 33 cases were detected by electrocardiogram.Using coronary angiography as the"gold standard"for examination,the sensitivity,accuracy,and negative predictive value of Doppler color echocardiography in detecting AMI were 95.12%(39/41),95.00%[(39+18)/60],and 90.00%(18/20),which were higher than those of electrocardiography 73.17%(30/41),76.67%[(30+16)/60],and 59.26%(16/27),with statistical differences(P<0.05);The Kappa test showed excellent consistency between the results of Doppler color echocardiography and the"gold standard"examination(Kappa value=0.886,P=0.000).Conclusion:The research findings emphasize that Doppler color echocardiography optimizes the sensitivity and accuracy of diagnosis in the diagnosis of acute myocardial infarction(AMI).This conclusion provides key guidance for clinical practice,promotes the efficiency and accuracy of diagnostic procedures,and has high diagnostic value.

acute myocardial infarctionDoppler color echocardiographyelectrocardiogramsensitivityspecificity

吴红平

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鹰潭市余江区人民医院彩超室(江西 鹰潭 335200)

急性心肌梗死 多普勒彩色超声心动图 心电图 灵敏度 特异度

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(14)
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