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心电图异常对成人房间隔缺损的诊断价值
Value of Electrocardiographic Abnormalities in Diagnosis of Atrial Septal Defect in Adults
【摘要】 目的:探讨“经典”的心电图异常对成人房间隔缺损(A SD)的诊断价值。方法:对住院行外科手术或行介入治疗的78例A SD患者行12导联心电图和心脏超声检查。结果:无论单项或组合心电图异常诊断A SD的敏感性较差,QRS电轴不能提示右房室扩大或肥厚,右心室压力增高伴有更多的电轴右偏。结论:原用的A SD心电图异常不是诊断成人A SD的敏感指标。
【Abstract】 Objective:To evaluate the diagnostic accuracy of the "classic" ECG abnormalities for the detection of ASD in adults.Methods:The patients with ASD for surgery or intervention therapy received 12-lead ECG and echocardiogram examination.Results:Both solitary and combined ECG findings are not sensitive markers of ASD.QRS axis did not predict chamber enlargement.Higher right ventricular systolic pressure was associated with right-axis deviation.Conclusions:The previously described ECG criteria are not sensitive markers for ASD in adults.
- 【文献出处】 中国误诊学杂志 ,Chinese Journal of Misdiagnostics , 编辑部邮箱 ,2006年05期
- 【分类号】R541.1
- 【被引频次】1
- 【下载频次】77