超声心动图在健康成人中肥厚型心肌病检出率的价值及与心电图相关性探讨.docVIP

精品论文 参考文献 超声心动图在健康成人中肥厚型心肌病检出率的价值及与心电图相关性探讨 秦 鸣 田士兵通讯作者 　　江苏省太湖干部疗养院超声科 江苏无锡 214086 　　【摘 要】目的：利用超声心动图体检调查苏南地区成人肥厚型心肌病（HCM）检出率及肥厚型心肌病与性别、年龄及心电图等相关因素的探讨。方法：收集2012.1--2013.12期间来我院体检的健康成人37423例，其中男24534例，女12889例，年龄32—85岁，平均（52.4plusmn;9）岁。分析该人群HCM的检出率，以及该病与性别、年龄、心电图改变的相关性。每个受检者均行超声心动图、心电图检查及一般资料调查。结果：37423例受检者中检出HCM88例，均为非对称性肥厚，检出率为0.24%，其中男82例，女6例。非梗阻性67例，梗阻性10例（其中4例为乳头肌水平处梗阻），心尖肥厚型11例。HCM检出率与年龄有统计学差异（p＜0.05）。心电图异常者83例，其中ST—T改变45例，T波倒置17例，异常Q波11例，左前分支传导阻滞7例，不完全性右束支传导阻滞2例，SSS1例，心电图正常者5例。结论：超声心动图是肥厚型心肌病检出率的首选方法，凡心电图有ST-T异常改变者，提示常规做超声心动图检查，及早发现HCM隐性病例，及早治疗，谨防猝死。 　　【关键词】超声心动图；心肌病，肥厚型；检出率；心电图；相关性 　　【中图分类号】R445.1 【文献标识码】B 【文章编号】1674-8999（2015）9-0683-02 　　Ultrasonic Heartbeat map in hypertrophic cardiomyopathy detected rate in healthy adultvalue and discussion and ECG correlation 　　Qin Ming Tian Shibing * 　　【Abstract】objective Beckoning graph examination surveys adult hypertrophic cardiomyopathy in South of Jiangsu area using ultrasound (HCM) to investigate the detection rate and related factors of hypertrophic cardiomyopathy and gender, age and electrocardiogram etc.Methods Collected during 2012.1--2013.12 to 37423 healthy adult medical examination in our hospital, including hospital, including male 24534 cases, female 12889 cases, age 32 to 85 years old, the average age of (52.4 + 9). Analysis of detection rate of the population of HCM, and the correlation with sex, age, disease electrocardiogram. Each subject underwentultrasound Beckoning investigation and general information, ECG graph.Results HCM88 were detected in 37423 cases of subjects, are asymmetric hypertrophy, the detection rate was 0.24%, including male 82 cases, female cases, female 6 cases. Non obstructive in 67 cases, 10 cases of obstructive (including 4 cases of papillary muscle level junction obstruction), 11 cases of apical hypertrophic. The detection rate of HCM has significant difference with age (P lt; 0.05). In 83 cases of abnormal ECG, in which ST-T changes in 45 cases, 17 cases of in