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心电图诊断左室肥厚的再评价 被引量:2

Reassessment of Electrocardiographic Diagnosis in Left Ventricular Hypertrophy
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摘要 本文通过对193例高血压病患者住院病历的分析,发现(1)左室心肌质量指数高于正常者(男>134g/m2、女>110g/m2)共90例,其心电图左室肥厚的敏感度为18.9%,特异度93.3%。当左室心肌质量指数男>174g/m2、女>150g/m2时,心电图左室肥厚的敏感度最高,为33.33%,特异度90.9%。但心电图左室肥厚的敏感度并非随左室心肌质量指数增加而增加。(2)心电图左室肥厚组与正常组比较其左室心肌质量指数有显著差异,P<0.01。肥厚组与高电压组的心肌质量指数比较P>0.05。(3)年龄、性别对心电图左室肥厚的敏感度无影响。 hypertension patients were studied.The following points were found (1) 90 of the 193 cases revealed higher echo left ventricular mass index(LVMI) than normal,namely,>134g/m2 in man and > 110 g/m2 in woman. For these criterions the sensitivity and specificity of ECG in diagnosing left ventricular hypertrophy(LVH) was 18.9% and 93. 3% respectively.When LVMI > 174 g/m2 in man and > 150 g/m2 in woman,the sensitivity of ECG was the highest (33. 33% ).(2) An obviously significant difference of LVMI was shown between the ECG - displayed LVH group and non - LVH group, p<0.01.There was no significance (p>0.05) in LVMI between LVH group and high voltage group in ECG.(3) Age and sex were not attributed to sensitivity of ECG.
出处 《心肺血管病杂志》 CAS 1995年第2期72-75,共4页 Journal of Cardiovascular and Pulmonary Diseases
关键词 左室肥厚 LVMI 心电图 超声心动图 Left ventricular hypertrophy (LVH),Left ventricular mass index (LVMI), Electrocardiogram,Echocardiography
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