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[会议论文:超声心动图用于诊断左心室肥厚]

[Proceedings: Echocardiography for the diagnosis of left ventricular hypertrophy].

出版信息

Schweiz Med Wochenschr. 1975 Nov 1;105(44):1413-7.

PMID:129854
Abstract

An echocardiographic and electrocardiographic evaluation of left ventricular hypertrophy (LVH) was carried out in 50 patients with chronic pressure or volume overload of the left ventricle, and in 16 patients with cardiomyopathy. In contrast to the ECG, echocardiography permitted good differentiation of ventricular dilatation, symmetrical and asymmetrical wall thickening. Positive voltage criteria (SOKOLOFF) were found in 76% of cases with abnormal muscle mass, but the height of QRS amplitude showed no close correlation with the degree of LVH. The presence of absence of ST/T changes was an unreliable index in predicting wall thickness. The practical value of echocardiagraphy in the differential diagnosis of left ventricular disorders is discussed.

摘要

对50例左心室慢性压力或容量超负荷患者以及16例心肌病患者进行了超声心动图和心电图对左心室肥厚(LVH)的评估。与心电图不同,超声心动图能够很好地区分心室扩张、对称性和非对称性室壁增厚。在76%肌肉质量异常的病例中发现了阳性电压标准(索科洛夫标准),但QRS波幅高度与LVH程度无密切相关性。ST/T段改变的有无在预测室壁厚度方面是不可靠的指标。讨论了超声心动图在左心室疾病鉴别诊断中的实用价值。

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