无症状二维超声心动图左室内膜回声增强和心电图运动试验对比分析.docVIP

无症状二维超声心动图左室内膜回声增强和心电图运动试验对比分析 　　[摘要] 目的：对比分析二维超声心动图左室心内膜回声增强与心电图运动试验ST段改变两种方法诊断心肌缺血的相关性。方法：观察组37例，对照组22例，分别作二维超声心动图检查和心电图踏车试验，了解是否存在无症状性心肌缺血。结果：运动试验阳性率左室心内膜回声增强组阳性率为9.2%，无左室心内膜回声增强组为3.6%，两组比较，有显著性差异（P＜0.01）；心电图对心肌缺血的大体定位与二维超声心动图心内膜回声增强部位有较好的对应关系。结论：左室心内膜面回声增强提示有相应部位的心肌缺血改变。 　　[关键词] 心肌缺血；二维超声心动图；心内膜；运动试验 　　[中图分类号] [文献标识码]A [文章编号]1673-7210（2007）07（c）-013-02 　　 　　Comparative analysis between echogenic endocardium in left ventricle demonstrated by asymptomatic two-dimensional echocardiography andelectrocardiogram treadmill exercise test 　　DONGJin 　　(The first Peoples Hospital of Liangshan Prefecture, Liangshan Prefecture 615000,China) 　　[Abstract] Objective: To comparatively analyze the relationship between two methods for diagnosing myocardial ischemia,two-dimensional echocardiography and electrocardiogram treadmill exercise test respectively. Methods: 37 cases were classed as Observation Group and 22 cases as control Group.The observation group was checked of two-dimensional echocardiography. And the control group was gone through electrocardiogram treadmill exercise test. Results:The positive rate of the group of echogenic endocardium in left ventricle was 9.2% by ETE. And the positive rate of the group of no echogenic endocardium in left ventricle was 3.6%. two groups had distinct difference (P＜0.01). There was a good correspondence relationship between the position of myocardial ischemia discovered by electrocardiogram and the part of echogenic endocardium that demonstrated by two-dimensional echocardiography. Conclusion: There are changes of myocardial ischemia in the relevant part showed by echogenic endocardium that is demonstrated by two-dimensional echocardiography in left ventricle. 　　[Key Words] Myocardial ischemia; Two-dimensional echocardiography; Endocardium; Electrocardiogram treadmill exercise test 　　 　　对无临床症状，静息心电图正常，二维超声心动图（2DE）检查有左室心内膜面回声增强者和无左室心内膜回声增强者同时做心电图踏车试验，以了解是否存在无症状性心肌缺血（SMI）。 　　 　　1 材料与方法 　　 　　1.1 研究对象 　　以无临床症状、体征、静息心电图正常、二