心电图联合超声心动图在心肌病类型鉴别中的应用

Application of electrocardiogram combined with echocardiography in identification of cardiomyopathy

目的探讨心电图联合超声心动图在心肌病类型鉴别中的应用。方法选取我院收治的60例心肌病患者作为研究对象,根据疾病类型分为A、B两组,各30例。A组患者为扩张性心肌病,B组患者为缺血性心肌病。两组患者均进行心电图联合超声心动图检查,分析检查结果,观察患者心功能等情况。结果 A组患者二尖瓣E点到室间隔距离为(26.54±4.32)mm,显著高于B组的(10.43±4.32)mm,A组左射血分数为(26.43±9.02)%,显著少于B组的(46.21±4.32)%,差异均具有统计学意义(P<0.05)。A组患者心脏形态主要为左心室球状及弥漫性运动障碍,B组患者心脏形态主要为室壁结节段运动障碍与室壁矛盾运动。结论心电图联合超声心动图在鉴别扩张性心肌病与缺血性心肌病中作用显著,可为临床鉴别提供重要参考意见,具有推广意义。

Objective To explore the application of electrocardiogram（ECG） combined with echocardiography in the identification of cardiomyopathy. Methods A total of 60 patients with cardiomyopathy who were treated in our hospital were selected and divided into group A and group B, with 30 cases in each group. The patients of group A were dilated cardiomyopathy, and those in group B were ischemic cardiomyopathy. The two groups of patients underwent ECG and echocardiography, and the patient’s cardiac function was analyzed. Results The mitral valve E point to ventricular septal distance of group A was（26.54±4.32） mm, significantly higher than group B（10.43±4.32） mm; the left entricular ejection fraction of group A was（26.43±9.02）%, significantly less than group B（46.21±4.32）%, with statistical difference（P〈0.05）. The heart morphology of group A was mainly left ventricular globular and diffuse movement disorder, and group B was mainly the movement of ventricular wall nodules and ventricular wall. Conclusion ECG combined with echocardiography in the identification of dilated cardiomyopathy and ischemic cardiomyopathy has a significant effect, which can improve the clinical identification and enhance the important reference.