53例高血压性心脏病心脏B超与心电图的对比观察

53 Cases of Hypertensive Heart Disease Cardiac B -mode Ultrasonography and the Electrocardiogram Comparative Observation

目的对比分析心脏B超与心电图在诊断高血压性心脏病中的临床应用效果。方法对该院接收并治疗的53例高血压性心脏病患者的心脏B超与心电图临床资料进行回顾性对比分析。结果心脏B超检测中,A峰>E峰(A>E)检出率52.4%,患者左室肥厚检出率为79.2%;左室扩大检出率为35.8%;左房增大检出率为43.4%;主动脉扩张检出率为60.4%;主动脉弹性减退检出率为13.2%。心电图检测中,左室肥大的心电图检出率为32.1%,左室扩大检出率为15.1%,左房增大检出率为9.4%,左房增大检出率为34.9%,左室高电压检出率为20.8%;心率、心律改变检出率为64.2%。结论 53例高血压性心脏病患者同时给予B超检查与心电图检查,其符合率为69.8%,心脏B超检测的检出率要高于心电图的检出率,前者对患者的心脏变化较为敏感,是一种较为有效的无创伤的检测方法。

Objective Comparative analysis of cardiac B-mode ultrasonography and ECG in diagnosis of hypertensive heart disease in clinical application. Methods The hospital receiving and treatment of 53 cases of hypertensive heart disease in patients with cardiac B-mode ultrasonography and ECG clinical data were retrospectively analyzed. Results Cardiac B-mode ultrasonography in detection of A peak, peak E（AE） the detection rate of 52.4% patients with left ventricular hypertrophy, the detection rate was 79.2%; left ventricular enlargement rate was 35.8%; the left atrial enlargement, the positive rate was 43.4%; aortic dilatation rate was 60.4%; aortic elasticity decreases the detection rate is 13.2%. Electrocardiographic detection of left ventricular hypertrophy on the electrocardiogram, the detection rate is 32.1%, the detection rate of left ventricular enlargement in 15.1%, left atrial enlargement, the detection rate is 9.4%, the left atrial enlargement, the detection rate is 34.9%, left room high voltage detection rate of 20.8%; heart rate, heart rhythm change detection rate of 64.2%. Conclusion 53 cases of patients with hypertensive heart disease B ultrasound examination and ECG examinations given at the same time, the coincidence rate is 69.8%, cardiac B -mode ultrasonography detection detection rate than ECG detection rate, the former for patients with cardiac changes are more sensitive, is an effective noninvasive detecting method.