超声心动图联合心电图在诊断心尖肥厚型心肌病的应用价值

目的分析心尖肥厚型心肌病(AHCM)的超声心动图及心电图特征性改变,探讨两种检查方法联合在AHCM中的诊断价值。方法 18例心尖肥厚型心肌病和30例正常对照组均行超声心动图及心电图检查,AHCM患者中另有6例进行冠状动脉造影及左室造影检查。结果 AHCM患者超声心动图显示心尖部明显增厚,心电图显示巨大T波倒置,R波振幅增高,与正常组比较差异显著。结论超声心动图与心电图对诊断AHCM有重要价值,两者联合可提高本病诊断率。

Objective To evaluate the diagnostic value of echocardiogram.and electro-cardiogram in patients of apical hypertrophic cardiomyopathy（AHCM）.Methods Sixteen patients with AHCM and thirty normal subjects were examined by echocardiogram,and electro- cardiogram,six patients with AHCM were examined by coronary angiography and left ventriculography.Results In AHCM group ,echocardiogram showed left ventricular apex was distinctly thick,electrocardiogram showed giant T wave and increase of R wave,these were significantly different from normal group.Conclusion Echocardiogram and electrocardiogram are valuable in diagnosis of AHCM.