心电图联合超声心动图对心肌淀粉样变的诊断意义

Significance of electrocardiogram plus echocardiography in the diagnosis of cardiac amyloidosis

目的:对心肌淀粉样变应用心电图联合超声心动图诊断的方法以及意义进行探讨。方法:回顾性分析本院在2012年2月-2014年3月间经病理证实的100例原发性心肌淀粉样变患者的心电图及超声心动图主要改变,并对比两种技术联合应用的诊断意义与单一技术的诊断意义。结果:心电图联合超声心动图诊断符合率为95%,单一心电图诊断符合率为64%。结论:心电图联合超声心动图优于单一心电图检查,有利于提高心肌淀粉样变的诊断率,从而降低诊疗时的误诊率。

Objective To investigate diagnosis methods and significance of the electrocardiogram plus echocardiography on cardiacamyloidosis. Methods： 100 patients in our hospital from February 2012 to March 2014 were selected, and the change of electrocardiogramplus echocardiography of all patients was analyzed. Results： Diagnostic accuracy of electrocardiogram plus echocardiography was 95%;Diagnostic accuracy of single electrocardiogram was 64%. Conclusion： Compared with single electrocardiogram, electrocardiogram plusechocardiography was better in diagnosing myocardial amyloidosis and reducing misdiagnosis.