中华心血管病杂志
中華心血管病雜誌
중화심혈관병잡지
Chinese Journal of Cardiology
2009年
1期
56-58
,共3页
曾学寨%刘德平%何青%郭虹辟%方芳%刘东戈%董榕%曾环宇
曾學寨%劉德平%何青%郭虹闢%方芳%劉東戈%董榕%曾環宇
증학채%류덕평%하청%곽홍벽%방방%류동과%동용%증배우
心电描记术%肥大,左心室%老年人
心電描記術%肥大,左心室%老年人
심전묘기술%비대,좌심실%노년인
Electrocardiography%Hypertrophy,left ventrieular%Aged
目的 探讨老年男性心电图Comell电压标准及其诊断老年男性左室肥厚的价值.方法 回顾性分析北京医院自1990年来进行尸体解剖的老年男性患者资料,排除心电图ORS波时限≥0.12 s及起搏心电图的患者.测量死亡前3个月内标准12导联心电图QRS波振幅,分析老年男性Comell、Sokolow-Lyon电压值与左室前壁厚度的相关性.计算老年男性无器质性心脏病组Comell电压值的均数及其97.5%的上限值,分析老年男性心电图Comell电压标准诊断老年男性左室肥厚的敏感性、准确性.结果 老年男性心电图Comell、Sokolow-Lyon电压值与左室前壁厚度相关.老年男性无器质性心脏病组心电图Sv3+RaVL平均值为(1.32±0.79)mV,以其97.5%的上限值2.9 mV为Comell标准诊断老年男性左室肥厚的敏感性、准确性分别为34.3%、77.5%,高于Sokolow-Lyon标准.结论 心电图Comell电压标准诊断中国老年男性左室肥厚的界值可采用2.9 mV,其诊断老年男性左室肥厚的敏感性、准确性高于Sokolow-Lyon标准.
目的 探討老年男性心電圖Comell電壓標準及其診斷老年男性左室肥厚的價值.方法 迴顧性分析北京醫院自1990年來進行尸體解剖的老年男性患者資料,排除心電圖ORS波時限≥0.12 s及起搏心電圖的患者.測量死亡前3箇月內標準12導聯心電圖QRS波振幅,分析老年男性Comell、Sokolow-Lyon電壓值與左室前壁厚度的相關性.計算老年男性無器質性心髒病組Comell電壓值的均數及其97.5%的上限值,分析老年男性心電圖Comell電壓標準診斷老年男性左室肥厚的敏感性、準確性.結果 老年男性心電圖Comell、Sokolow-Lyon電壓值與左室前壁厚度相關.老年男性無器質性心髒病組心電圖Sv3+RaVL平均值為(1.32±0.79)mV,以其97.5%的上限值2.9 mV為Comell標準診斷老年男性左室肥厚的敏感性、準確性分彆為34.3%、77.5%,高于Sokolow-Lyon標準.結論 心電圖Comell電壓標準診斷中國老年男性左室肥厚的界值可採用2.9 mV,其診斷老年男性左室肥厚的敏感性、準確性高于Sokolow-Lyon標準.
목적 탐토노년남성심전도Comell전압표준급기진단노년남성좌실비후적개치.방법 회고성분석북경의원자1990년래진행시체해부적노년남성환자자료,배제심전도ORS파시한≥0.12 s급기박심전도적환자.측량사망전3개월내표준12도련심전도QRS파진폭,분석노년남성Comell、Sokolow-Lyon전압치여좌실전벽후도적상관성.계산노년남성무기질성심장병조Comell전압치적균수급기97.5%적상한치,분석노년남성심전도Comell전압표준진단노년남성좌실비후적민감성、준학성.결과 노년남성심전도Comell、Sokolow-Lyon전압치여좌실전벽후도상관.노년남성무기질성심장병조심전도Sv3+RaVL평균치위(1.32±0.79)mV,이기97.5%적상한치2.9 mV위Comell표준진단노년남성좌실비후적민감성、준학성분별위34.3%、77.5%,고우Sokolow-Lyon표준.결론 심전도Comell전압표준진단중국노년남성좌실비후적계치가채용2.9 mV,기진단노년남성좌실비후적민감성、준학성고우Sokolow-Lyon표준.
Objecttve To explore the value of electrocardiographic(ECG)Cornell criteria for detecting left ventricular hypertrophy(LVH)in elderly Chinese men.Methods Since 1990,244 autopsies were performed in our hospital in elderly men,LVH was determined in these autopsy hearts and correlated to EGG LVH signs recorded within 3 months before death according to Comer(Sv3+RIvL)and Sokolow-Lyon criteria(Svl+Rvs or RV6).The reference value of Comell criteria was obtained based on valUes from autopsied healthy hearts,the sensitivity and specificity of Cornell and Sokolow-Lyon criteria for detecting left ventricular hypertrophy in these eldedy men were talculated.Results There were significantly correlations between QRS amplitudes of Cornell and Sokolow-Lyon criteria and autopsy left ventricular wall thickness in tllese hearts.The reference value of Comer criteria(SV3+RaVL)was 2.9 mV.The sensitivity of Sokolow-Lyon and Cornell criteria for detecting LVH Wag 25.4%and 34.3%(P＜0.05 vs Sokolow-Lyon criteria),respectively.Condusion Voltage(SV3+R.RavL)≥2.9 mV might be a suitable diagnostic value for detecting left ventricular hypertrophy in Chinese elderly men.
