超声心动图和心电图对心尖肥厚型心肌病诊断价值及其相关性分析

摘要

Objective:To analyze the value of the ultrasonic beckoning diagram and electrocardiogram on the apical hypertrophic cardiomyopathy(AHCM)and explore the correlation of ultrasonic beckoning diagram and electrocardiogram to provide basis for improving the diagnosis of AHCM. Method:20 patients with ACHM were taken as the observation group and 20 cases with healthy volunteers as control group,who accepted the diagnosis of ECG and ultrasonic beckoning diagram to explore the relationship between the two diagnosis methods. Result:The results showed that ultrasound Beckoning and ECG had a certain abnormality. Pearson correlation analysis showed that the maximum R wave amplitude had positive correlation with left ventricular and apical myocardial thickness(r=0.7428,0.7254, P<0.05). Apical myocardial thickness had negative correlation with ST segment depression depth and T wave inversion depth(r=-0.6735,-0.6649,P<0.05). Conclusion:The diagnoses of ECG and ultrasonic beckoning diagram on AHCM have showed certain abnormalities,and the abnormalities have relevance.%目的：分析心尖肥厚型心肌病（AHCM）心电图和超声心动图特点，并探讨二者的相关性，为提高心尖肥厚型心肌病的诊断提供依据。方法：选择20例心尖肥厚型心肌病患者为观察组，20例健康体检且一切正常的志愿者为对照组。两组均接受超声心动图和心电图检查，并对异常指标进行Pearson相关性分析，探讨二者的关系。结果：超声心动图和心电图结果均有一定的异常。Pearson相关性分析表明心尖心肌厚度与R波最大波幅、左室后壁厚度与R波最大波幅正相关（r值分别为0.7428、0.7254，P<0.05）。心尖心肌厚度与ST段压低深度、心尖心肌厚度与T波倒置深度与负相关（r值分别为-0.6735、-0.6649，P<0.05）。结论：心尖肥厚型心肌病患者的超声心动图和心电图均有不同程度的异常表现，而且两者的多种异常表现具有相关性。