摘要
目的:探讨并评价在评估冠心病心力衰竭患者疾病严重程度方面,借助心脏彩超结合心电图的准确性及价值。方法:纳入2020年6月~2023年6月本院接诊的120例冠心病心力衰竭患者,分组严格根据纽约心脏病协会(NYHA)心功能分级标准,分别设Ⅱ级组、Ⅲ级组、Ⅳ级组;均给予心电图、心脏彩超检查。结果:①心电图检查结果分析:心功能Ⅳ级的患者,QRS电压明显低于Ⅱ级、Ⅲ级患者;心功能Ⅱ级的患者,QRS时限、QTs间期短于Ⅲ级、Ⅳ级患者(P<0.05);②心脏彩超检查结果分析:Ⅱ级患者的LVESD、LVEDD、LAD以及E/A低于Ⅲ级、Ⅳ级患者(P<0.05);但Ⅳ级患者的LVEF明显低于Ⅱ级、Ⅲ级患者(P<0.05);③相关性分析发现,与心功能成正相关的因素,分别为QRS时限、QTc间期、LVESD、LVEDD、LAD、E/A。而QRS电压、LVEF与心功能之间呈现负相关关系。结论:在冠心病心力衰竭患者病情严重程度的评估中,心电图联合心脏彩超检查价值较高。
Objective:To explore the accuracy of combining electrocardiogram and echocardiography in assessing the severity of coronary heart disease and heart failure in patients.Methods:120 patients with coronary heart disease and heart failure who were admitted to our hospital from June 2020 to June 2023 were divided into class Ⅱ,Ⅲ,and Ⅳ groups according to the New York Heart Association(NYHA)cardiac function grading standards;All patients were given electrocardiogram and cardiac ultrasound examination.Results:①Analysis of electrocardiogram examination results:in patients with cardiac function grade Ⅳ,the QRS voltage was significantly lower than in patients with grade Ⅱ and Ⅲ;Patients with grade Ⅱ cardiac function had shorter QRS duration and QTs intervals than those with grade Ⅲ and Ⅳ cardiac function(P<0.05).②Analysis of cardiac ultrasound examination results:LVESD,LVEDD,LAD,and E/A of grade Ⅱ patients were lower than those of grade Ⅲ and Ⅳ patients(P<0.05);However,the LVEF of grade Ⅳ patients was significantly lower than that of grade Ⅱ and Ⅲ patients(P<0.05).③Correlation analysis found that QRS duration,QTc interval,LVESD,LVEDD,LAD,and E/A were all positively correlated with cardiac function;QRS voltage and LVEF are negatively correlated with cardiac function.Conclusion:In the assessment of the severity of coronary heart disease and heart failure in patients,the combination of electrocardiogram and cardiac ultrasound examination has a high value.
作者
李杰
魏刘东
史云
徐泽民
王健
付柳静
顾秀峰
LI Jie;WEI Liu-dong;SHI Yun;XU Ze-min;WANG Jian;FU Liu-jin;GU Xiu-feng(Department of Cardiology,Tianjin Fourth Central Hospital,Tianjin 300140)
出处
《中国医疗器械信息》
2024年第12期111-113,共3页
China Medical Device Information
关键词
冠心病
心力衰竭
心电图
心脏彩超
病情严重程度
coronary heart disease
heart failure
electrocardiogram
cardiac ultrasound
severity of the condition
