系统性红斑狼疮心脏损害心电图检查的临床意义

The Clinical Significance of Electrocardiogram to Cardiac Involvements in Systemic Lupus Erythematosus

目的探讨系统性红斑狼疮(SLE)心脏损害心电图检查的临床意义。方法 2004年1月～2009年4月于我院内科住院的确诊SLE 80例,没有心脏损害症状的患者进行心电图检查,进行回顾性分析。结果 80例确诊SLE患者没有心脏受累的症状和体征,但心电图检查发现:46例有心电图改变,阳性率占57.5%,进一步做心脏超声检查发现39例有心脏结构或功能改变,阳性率占48.8%。结论 SLE患者常规做心电图检查,可以发现无症状的心脏损害患者的心电图改变,进一步做心脏超声等检查,以明确红斑狼疮所致的心脏损害的程度,为治疗提供了重要的早期诊断方法。

Objective To investigate the clinical significance of the electrocardiogram （ECG） to cardiac involvements in Systemic lupus erythematosus （ SLE）. Methods 80 cases without sign and syndrome of cardiac involvements were analyzed retrospectively in our hospital between January 2004 and April 2009. Results In 80 cases without sign and syndrome of cardiac involvements, 46 cases had ECG changes,with the positive rate being 57.5%. In the next echocardiography examination, 39 cases had heart struction or function change,with the positive rate being 48.8% . Conclusion For SLE patients, ECG examinations can find the change,and in the next echo- cardiography examination, cardiac involvements degree can be sure. It can provid an early important information for diagnose and treatment.