摘要
目的分析18导联心电图(ECG)在老年冠心病患者的诊断中的应用价值。方法随机选取该院自2012年10月—2014年10月收诊的老年冠心病患者160例,18导联心电图检查,同时选择冠状动脉造影(CAG)检查作为金标准,对比18导联心电图监测的诊断价值。结果 CAG敏感性100.00%,特异性100.00%,准确性100.00%,漏诊及误诊率0.00%,18导联ECG敏感性76.15%,特异性66.67%,准确性73.13%,漏诊率16.25%,误诊率10.63%。18导联ECG符合的ST段抬高18例,Q波异常30例,T波倒置或者低平33例,ST段下移29例,Af 9例,LBBB 14例,LAFB 16例,RBBB 6例,V_7、V_8、V_9 23例,V_(3R)、V_(4R)、V_(5R)23例,正常心电图26例。结论 18导联ECG较常规12导联的ECG增加了检查导联数,经济方便,并且无创,有很高的临床价值。
Objective To analyze the application value of 18 leads electrocardiogram in diagnosis of patients with elderly coronary heart disease. Methods 160 cases of patients with elderly coronary heart disease treated in our hospital from October 2012 to October 2014 were selected and given 18 leads electrocardiogram examination, the diagnostic values of 18 leads electrocardiogram examination and coronary angiography （CAG） examination were compared. Results The sensitivity, specificity, accuracy, missed diagnosis and misdiagnosis were respectively 100.00%, 100.00%, 100.00%, 0.00% and 0.00% by CAG and 76.15%, 66.67%, 73.13%, 16.25% and 10.63% by 18 leads ECG, and 18 leads ECG examined that ST segment elevation was 18 cases, abnormal Q wave was 30 cases, T-wave inversion or flatness was 33 cases, ST segment depression was 29 cases, Af was 9 cases, LBBB was 14 cases, LAFB was 16 cases, RBBB was 6 cases, V7,V8、V9 was 23 eases, V3R、V4R,V5R was 23 cases, normal ECG was 26 cases. Conclusion Compared with the conventional 12 leads ECG, 18 leads ECG increases the check lead number, and it is economical and convenient and noninvasive, which is of great clinical value.
出处
《中外医疗》
2015年第35期168-169,共2页
China & Foreign Medical Treatment
关键词
18导联心电图
老年冠心病
诊断价值
18 leads electrocardiogram
Elderly coronary heart disease
Diagnostic value
