560例T波低平患者的诊断分析

Diagnostic Analysis of 560 Patients with T Wave Flat

目的分析住院患者心电图T波低平改变探讨心电图T低平改变与临床相关性。方法收集我院2013年1月至2014年1月住院常规心电图出现T波改变患者560例,回顾其住院期间所有诊断并进行频数统计分析。结果 560例患者共有1469个诊断,其中频次最高的五项诊断依次为冠状动脉粥样硬化性心脏病、高血压、2型糖尿病、围绝经期综合征、低钾血症,占到所有患者诊断的85.65%。其余的诊断包括脑梗死后遗症、心肌病、贫血、心肌炎、晚期妊娠、甲状腺功能亢进、胆石症等,占所有诊断的14.35%。结论 T波低平是异常心电图,但其病因既有心脏病,又有非心脏性因素诸多,而心电图又缺乏特征性表现,因此在临床不能只依靠T波低平来诊断冠心病、心肌病等器质性心脏病,临床医师必须结合患者年龄、病史、临床症状与相关检查综合进行判断,以免造成不良后果。

Objective To analyze the T wave of ECG changes in patients with low correlation between ECG T flat changes and the clinical significance. Methods In our hospital from January 2013 to January 2014 year in January routine ECG T wave changes in 560 patients during hospitalization, review all diagnosis and frequency statistical analysis. Results The 560 patients with a total of 1469 diagnosis, diagnostic frequency is shown in figure 1. One of the five highest diagnostic frequency order of coronary atherosclerotic heart disease, hypertension, type 2 diabetes, menopausal syndrome, hypokalemia, accounted for 85.65% of all patients diagnosis. The rest of the diagnosis including the sequelae of cerebral infarction, cardiomyopathy, myocarditis, late pregnancy, anemia, hyperthyroidism, cholelithiasis, accounted for 14.35% of all diagnosis. Conclusion T wave fiat is abnormal ECG, but its etiology has heart disease, and non cardiac factors, whereas the ECG and the lack of features, so in the clinical cannot rely only on T wave fiat to diagnosis of coronary heart disease, eardiomyopathy and other organic heart disease, clinicians should be combined with patient＇s age, medical history, clinical symptoms and related examination comprehensive judgment, so as to avoid adverse consequences.