|
|
The Application Value of Different Electrocardiogram Index Scores in the Diagnosis of Left Ventricular Hypertrophy in Hypertensive Patients |
WANG Chunfang, LI Jing |
Baoji High-tech Hospital,Baoji Shaanxi 721000 |
|
|
Abstract 【Objective】To explore the application value of different electrocardiogram index scores in the diagnosis of left ventricular hypertrophy(LVH) in hypertensive patients. 【Methods】A total of 100 hypertensive patients admitted to Baoji High tech Hospital from January 2020 to January 2022 were selected. The Cornell voltage standard,Sokolow-Lyon voltage standard,Peguero-Lo Presti voltage standard,and the number of cases diagnosed with LVH by echocardiography were compared. The left ventricular mass(LVMI) index displayed by echocardiography was used as the diagnostic criteria for LVH,and the sensitivity and specificity of the three electrocardiogram diagnostic indicators were evaluated.【Results】 Among the 100 patients,41 were diagnosed with LVH by echocardiography,13 with Sokolow-Lyon voltage standard,14 with Cornell voltage standard,and 23 with Peguero-Lo Presti voltage standard. The difference was statistically significant(P<0.05). Using echocardiography as a reference standard,consistency analysis showed that the sensitivity and specificity of Peguero-Lo Presti voltage standard in diagnosing LVH were higher than those of Sokolow-Lyon voltage standard and Cornell voltage standard. The sensitivity and specificity of the Sokolow-Lyon voltage standard,Cornell voltage standard,and Peguero-Lo Presti voltage standard in males are higher than those in females.【Conclusion】 Different electrocardiogram index scores can be used for the preliminary diagnosis of LVH in hypertensive patients,among which the Peguero-Lo Presti voltage standard has higher sensitivity in diagnosing LVH.
|
Received: 06 October 2022
|
|
|
|
|
[1] NADARAJAH R,PATEL PA,TAYEBJEE MH. Is hypertensive left ventricular hypertrophy a cause of sustained ventricular arrhythmias in humans?[J].J Hum Hypertens,2021,35(6):492-498.
[2] 赵婧莎,周紫微,刘婧,等. 血浆中性粒细胞明胶酶相关脂质运载蛋白与原发性高血压及高血压左心室肥厚的相关性研究[J].心血管病学进展,2022,43(5):469-474.
[3] 范景如,陈子清,黄钦生,等. 循环miR-26b水平变化与高血压患者左心室肥厚及心功能的相关性[J].海南医学,2021,32(16):2048-2051.
[4] 朱韵,葛志祥,张春旭,等. 改良的心电图Cornell标准在诊断高血压左心室构型改变中的价值[J].中华高血压杂志,2021,29(4):343-348.
[5] SEKO Y,KATO T,YAMAJI Y,et al. Discrepancy between left ventricular hypertrophy by echocardiography and electrocardiographic hypertrophy:clinical characteristics and outcomes[J].Open Heart,2021,8(2):1765.
[6] 《中国高血压防治指南》修订委员会. 中国高血压防治指南2018年修订版[J].心脑血管病防治,2019,19(1):1-44.
[7] ZHAO D,LIU J,WANG M,et al. Epidemiology of cardiovascular disease in China:current features and implications[J].Nat Rev Cardiol,2019,16(4):203-212.
[8] 曹亚萍,张宇,陈玉岚,等. 原发性高血压患者经典瞬时受体电位通道1基因多态性与左心室肥厚的关系[J].山东医药,2021,61(23):1-5.
[9] 邓兆敏,陈莉,陈欣欣. 原发性高血压合并左心室肥厚对交感神经活性的影响及与血压分级的关系研究[J].临床和实验医学杂志,2021,20(6):610-613.
[10] 邱方,程令刚,林晖. 以超声心动图为标准分析静息心电图在心脏形态学诊断中的临床价值[J].中国医师杂志,2021,23(3):428-431.
[11] 杨志家,白彦芳,王绍伟,等. 原发性高血压伴左心室肥厚患者血清硫脑苷脂与QT间期离散度和NT-proBNP水平的相关性研究[J].现代中西医结合杂志,2020,29(16):1761-1764.
[12] 张扬辉,张立帅,闫书妹,等. Peguero-Lo Presti指数对高血压性左心室肥厚的诊断价值[J].郑州大学学报(医学版),2020,55(5):694-697.
[13] 张志华,莫为春,郑风雅,等. 超声心动图评价左心室射血分数正常终末期肾病患者左心室重构和功能的价值研究[J].中国全科医学,2020,23(12):1497-1503.
[14] 缪羽霞,徐敏,朱韵,等. 改良的Cornell电压对高血压左心室肥厚的诊断价值[J].天津医药,2020,48(9):843-847.
[15] 孙小艳,童伟. 高血压左室心肌肥厚患者血清相关纤维化指标水平与Selvester QRS心电图评分的关系[J].湖南师范大学学报(医学版),2019,16(4):51-54. |
|
|
|