摘要
目的探讨心脏超声在高血压左心室肥厚伴左心衰竭诊断中的价值。方法选取2018年1月至2020年6月我院120例疑似高血压左心室肥厚伴左心衰竭患者,均行常规心电图、动态心电图及心脏超声检查。以临床综合诊断结果为金标准,比较不同检查方法的诊断结果。分析不同检查方法与临床综合诊断结果间的一致性。比较高血压左心室肥厚伴或不伴左心衰竭患者的心脏超声指标。结果以临床综合诊断结果为金标准,动态心电图、心脏超声对高血压左心室肥厚伴左心衰竭的诊断灵敏度、特异度、准确度、阳性预测值、阴性预测值均高于常规心电图(P<0.05)。常规心电图与临床综合诊断结果间呈中度一致,动态心电图、心脏超声与临床综合诊断结果间呈高度一致。高血压左心室肥厚伴左心衰竭患者的LVEF、E/A低于高血压左心室肥厚不伴左心衰竭患者,LVEDV、LVESV、Tei指数高于高血压左心室肥厚不伴左心衰竭患者(P<0.05)。结论心脏超声对高血压左心室肥厚伴左心衰竭的诊断价值较高。
Objective To investigate the value of echocardiography in the diagnosis of hypertensive left ventricular hypertrophy with left heart failure.Methods A total of 120 patients with suspected hypertensive left ventricular hypertrophy and left heart failure in our hospital from January 2018 to June 2020 were selected and underwent routine electrocardiogram,dynamic electrocardiogram and echocardiography examination.Taking the clinical comprehensive diagnostic results as the gold standard,the diagnostic results of different examination methods were compared.The consistency between different examination methods and clinical comprehensive diagnosis results were analyzed.The echocardiographic indexes of hypertensive left ventricular hypertrophy patients with or without left heart failure were compared.Results Taking the clinical comprehensive diagnostic results as the gold standard,the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of dynamic electrocardiogram and echocardiography in the diagnosis of hypertensive left ventricular hypertrophy with left heart failure were higher than those of routine electrocardiogram(P<0.05).The routine electrocardiogram was moderately consistent with clinical comprehensive diagnostic results,and the dynamic electrocardiogram and echocardiography were highly consistent with clinical comprehensive diagnostic results.The LVEF and E/A in hypertensive left ventricular hypertrophy patients with left heart failure were lower than those in hypertensive left ventricular hypertrophy patients without left heart failure,and LVEDV,LVESV and Tei index were higher than those in hypertensive left ventricular hypertrophy patients without left heart failure(P<0.05).Conclusion Echocardiography is of high value in the diagnosis of hypertensive left ventricular hypertrophy with left heart failure.
作者
王月荣
WANG Yuerong(Ultrasound Department,the Third People's Hospital of Puyang,Puyang 457000,China)
出处
《临床医学研究与实践》
2021年第28期119-121,共3页
Clinical Research and Practice
关键词
高血压左心室肥厚
左心衰竭
心脏超声
hypertensive left ventricular hypertrophy
left heart failure
echocardiography