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|本期目录/Table of Contents|

肥厚型心肌病体表心电图特征

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2018年第5期
页码:
532-537
栏目:
临床研究
出版日期:
2018-06-25

文章信息/Info

Title:
Characteristics in electrocardiogram in patients with hypertrophic cardiomyopathy
作者:
马志玲1; 邵 虹1; 胡海霞2; 杨倩利3; 刘丽文3; 赵志敬1
(空军军医大学:1.西京医院心脏内科，2.预防医学系统计教研室，3. 西京医院超声医学科，陕西 西安 710032)
Author(s):
MA Zhi-ling1;  SHAO Hong1;  HU Hai-xia2;  YANG Qian-li3;  LIU Li-wen3;  ZHAO Zhi-jing1
(1.Department of Cardiology, Xijing Hospital, 2.Department of preventive medicine statistics office, 3.Department of Ultrasound, Xijing Hospital, Air Force Military Medical University, Xi’an 710032, Shaanxi, China)
关键词:
心肌病; 肥厚型; 心电图; 超声心动图
Keywords:
Hypertrophic;  cardiomyopathy;  electrocardiogram;  echocardiogram
分类号:
R542.2；R540.41
DOI:
-
文献标识码:
A
摘要:
目的 探讨肥厚型心肌病（HCM）患者体表心电图（ECG）特征。方法 选取2015年5月~2017年4月期间住院治疗的HCM患者60例，同时选取本院同期查体的正常人60例，作为对照组，要求两组人员性别、年龄、体质量指数匹配。分析ECG各导联QRS波时限和R波、S波振幅，异常q波情况，QTC时限，R/S比值， ST段下移与抬高，T波低平、倒置，P波时限等指标。结果 ①HCM组的V2、V3导联QRS波时限；Ⅱ、V4导联异常Q波比例；QTC时限；P波时限；左心室肥厚ECG诊断公式SV1+RV5/V6及（SV3+RaVL）×QRS波时限均显著高于正常对照组。②HCM组的I、aVR、aVL、aVF导联QRS波时限；aVR导联Q波所占比例； I、II、III、aVL、aVF、V3、V4、V5、V6导联QRS波主波与T波方向一致性； V4、V5、V6导联R/S比值均显著低于正常对照组。结论 ECG诊断HCM首先要满足左心室肥厚的诊断标准，再结合上述ECG导联的特异性参数进行综合判断。
Abstract:
AIM To investigate the characteristic phenotype of electrocardiogram (ECG) in patients with hypertrophic cardiomyopathy (HCM). METHODS 60 inpatients with HCM from May 2015 to April 2017 in Xijing hospital were enrolled in the study. Another 60 patients (gender and age and weight matched in Xijing hospital) were chosen as a control group. 12-leads body surface ECGs were analysed, including QRS duration, R wave and S wave amplitude, abnormal q wave, duration of QTC, R/S ratio, ST segment elevation and depression, T wave low and inversion, and P wave duration. RESULTS In the HCM group, QRS duration in V2 and V3 leads, abnormal Q wave proportion in II and V4 leads, QTC duration, P wave duration and ECG diagnosis of left ventricular hypertrophy were significantly greater than those in the normal control group.In the HCM group, QRS duration in I, aVR, aVL and aVF leads, and Q wave proportion in aVR leads, and QRS main wave direction consistent with T wave in I, II, III, aVL, aVF, V3, V4, V5, V6, and R/S ratio in V4, V5 and V6 leads were significantly less than those in the control group. CONCLUSION Differences in the HCM group were seen when compared to the control group. Additional differences in ECG were seen when compared to the control group. Further research is warranted to appreciate the significance of these differences.

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备注/Memo

备注/Memo:
收稿日期：2017-12-19.基金项目：科技部国家国际合作专项资助（2014DFA31980），国家自然科学基金项目资助（81170305，30371571，81470452），陕西省国际科技合作项目资助（2013KW33-03） 通讯作者：赵志敬，副教授，主要从事冠心病诊断与治疗研究 Email：zhaozhj@fmmu.edu.cn 作者简介：马志玲，主治医师，硕士生 Email：328092906@qq.com
更新日期/Last Update: 1900-01-01