超声心动图在急性心肌梗死诊断中的应用价值

Application Value of Echocardiography in the Diagnosis of Acute Myocardial Infarction

目的分析在急性心肌梗死患者的临床诊断中超声心动图是否具有临床应用价值。方法选取2018年8月—2019年12月我院收治的80例急性心肌梗死患者纳入本研究,所有患者均经冠状动脉造影确诊为急性心肌梗死,对80例患者的心电图及超声心动图检查结果加以对比,分析两种不同检查方法对急性心肌梗死及急性心肌梗死并发症的检出率,以探讨哪一种检查方法对于急性心肌梗死的临床诊断价值更高。结果经超声心动图对急性心肌梗死的检出率95.0%高于经心电图对急性心肌梗死的检出率80.0%,经超声心动图对急性心肌梗死并发症的检出率12.5%高于经心电图对急性心肌梗死并发症的检出率3.8%,结果对比差异均有统计学意义(P <0.05)。结论与心电图相比,将超声心动图作为急性心肌梗死的辅助诊断手段,临床诊断价值高,是一种理想的选择。

Objective To analyze whether the application of echocardiography in the clinical diagnosis of acute myocardial infarction has clinical application value.Methods Eighty patients with acute myocardial infarction admitted to our hospital from August 2018 to December 2019 were selected into this study.All patients were diagnosed with acute myocardial infarction by coronary angiography.The electrocardiogram and echocardiography of 80 patients were examined.The results were compared,and the detection rate of two different examination methods for acute myocardial infarction and acute myocardial infarction complications was analyzed to explore which examination method was more valuable for the clinical diagnosis of acute myocardial infarction.Results The detection rate of acute myocardial infarction by echocardiography was 95.0%higher than the detection rate of acute myocardial infarction by electrocardiography(80.0%),and the detection rate of complications of acute myocardial infarction by echocardiography was 12.5%higher than that by transcardiography.The detection rate of complication of acute myocardial infarction by ECG was 3.8%,and the difference between the groups was statistically significant(P<0.05).Conclusion Compared with electrocardiogram,echocardiography as an auxiliary diagnostic method of acute myocardial infarction has high clinical diagnostic value and is an ideal choice.