心电图异常对成人房间隔缺损的诊断价值

Value of Electrocardiographic Abnormalities in Diagnosis of Atrial Septal Defect in Adults

目的:探讨“经典”的心电图异常对成人房间隔缺损(A SD)的诊断价值。方法:对住院行外科手术或行介入治疗的78例A SD患者行12导联心电图和心脏超声检查。结果:无论单项或组合心电图异常诊断A SD的敏感性较差,QRS电轴不能提示右房室扩大或肥厚,右心室压力增高伴有更多的电轴右偏。结论:原用的A SD心电图异常不是诊断成人A SD的敏感指标。

Objective： To evaluate the diagnostic accuracy of the ＂classic＂ ECG abnormalities for the detection of ASD in adults. Methods： The patients with ASD for surgery or intervention therapy received 12-lead ECG and echocardiogram examination. Results： Both solitary and combined ECG findings are not sensitive markers of ASD. QRS axis did not predict chamber enlargement. Higher right ventricular systolic pressure was associated with right axis deviation. Conclusions： The previously described ECG criteria are not sensitive markers for ASD in adults.