高血压性心脏病心脏B超与心电图的诊断比较

Comparison of the diagnostic value of cardiac B ultrasound and ECG in patients with hypertensive heart diseas

目的:对比心脏B超与心电图的诊断高血压性心脏病。方法:选取2015年10月-2016年10月在我院就诊的高血压性心脏病患者200例,回顾性分析其心脏B超及心电图检查结果。结果:心脏B超对左室扩大、左房增大、左室肥厚、主动脉扩张和主动脉弹性减弱的检出率均显著高于心电图的检出率(P<0.05)。心电图左房增大(Prr FV1≥-0.04mm/s)检出率29.00%,心率、心律改变检出率65.00%,左室高电压检出率20.50%。结论:心脏B超对高血压性心脏病的诊断优于心电图,临床可优先选用。

Objective To compare the diagnostic value of cardiac B ultrasound and ECG in patients with hypertensive heart disease. Methods 200 patients with hypertensive heart disease who were treated in our hospital from October 2015 to October 2016, retrospective analysis of the results of B-ultrasound and ECG. Results The detection rate of left ventricular enlargement, left atrial enlargement, left ventricular hypertroph）,, aortic dilatation and aortic elasticity was significantly higher than that of ECG （P〈0.05）. The detection rate of left atrial ECG increased （PrrFV1≥ -0.04mm/s） was 29%, the detection rate of heart rate and rhythm change was 65%, the detection rate of left ventricular high voltage was 20.50%. Conclusion The diagnosis of hypertensive heart disease by B ultrasound is superior to that of ECG, and B ultrasound can be used as the first choice.