肥厚型心肌病的超声心动图及心电图分析.pdfVIP

·76 · 　Prevention and Treatment of CardioCerebralVascular Disease 　Apr 2007. 　Vol 7. 　No 2 　 ·临床研究· 肥厚型心肌病的超声心动图及心电图分析 周 　勤 ,朱仁贤 , 肖玉梅,汤品华 ,盛冬梅 ,郑云峰 ,杨磊清 (上海市金山区亭林医院 ,上海 　201505) [摘 　要] 　目的 　观察肥厚型心肌病的心电图和超声心动图特点。方法 　对临床确诊的 32 例肥厚型心肌病 患者心电图、超声心动图资料进行回顾性分析。结果 　所有患者心电图均有异常 , 以 ST - T 改变、左室高电压 和异常 Q 波为多见。Q 波深度与室间隔厚度、ST 压低深度与心尖部室壁厚度均呈正相关 ,而 T 波深度与心尖 部室壁厚度无相关性 ,但与心尖部和室间隔的室壁厚度差呈正相关 ,左房大小与平均室壁厚度呈正相关。结 论 　在肥厚型心肌病中 ,心电图和超声心动图中的许多异常指标具有相关性 ,两者结合可提高本病诊断率。 [ 关键词] 　肥厚型心肌病 ;心电图 ;超声心动图 ( ) 中图分类号:R5422 　　文献标识码 :A 　　文章编号 :1009816X 2007 ECG and UCG Analysis of 32 Patients with Hypertrophic Cardiomypathy. ZHOU Qin , ZHU Ren - xian , XIAO Yu - mei , et al . The Tinling Hospital , Shanghai 201505 , China ( ) ( ) [ Abstract] Objective To analyse the changes of electrocardiogram ECG and echocardiography UCG in 32 patients with hypertrophic cardiomypathy. Methods 32 cases with hypertrophic cardiomypathy were reviewed based on the clinical , ECG and UCG data. Results All cases had abnormal ECG. The most frequent abnormal was ST segment and T wave changes. The second was left ventricle high voltage and the third was abnormal Q wave. The depth of Q wave had linear correlation with the thickness of interventricular septum ( IVS) . And the depth of ST segment depression had linear correlation with the thickness of apical ventricular wall. But the depth of negative T wave was not related with the thickness of apical (AP) ven tricular wall , and it had linear correlation with the difference in thickness of ventricular wall between AP and IVS. The left atrial si