Calò Leonardo, Crescenzi Cinzia, Romeo Fabiana, Panattoni Germana, Toto Federica, Canestrelli Stefano, Fusco Armando, Silvetti Elisa, Martino Annamaria, Fagagnini Alessandro, Fedele Elisa, Danza Ludovica, Canali Emanuele, Ciampi Pellegrino, Politano Alessandro, De Ruvo Ermenegildo, Rebecchi Marco, Sgueglia Marianna, Stefanini Matteo
Division of Cardiology, Policlinico Casilino, Rome, Italy.
Eur Heart J Suppl. 2025 Apr 16;27(Suppl 3):iii40-iii45. doi: 10.1093/eurheartjsupp/suaf014. eCollection 2025 Mar.
Electrocardiogram may play a crucial role in the diagnostic workup of different cardiomyopathies. Electrocardiogram abnormalities in impulse generation and transmission may be an early marker of these insidious pathologies. Some findings are suggestive of definite disorders, and other findings are less sensitive and/or specific, but may orient towards a specific diagnosis in a patient with a peculiar phenotype. Electrocardiogram findings not only could help to early recognize affected patients but may also have an important prognostic role in evaluating disease evolution over time and identifying patients at higher risk of sudden cardiac death. Electrocardiogram reading and the careful interpretation of its features remain a cornerstone for orienting the diagnosis towards specific forms and provide useful tools for risk stratification.
心电图在不同心肌病的诊断检查中可能起着关键作用。冲动产生和传导方面的心电图异常可能是这些隐匿性疾病的早期标志。一些发现提示明确的疾病，而其他发现则不太敏感和/或特异，但可能有助于对具有特殊表型的患者进行特定诊断。心电图检查结果不仅有助于早期识别受影响的患者，还可能在评估疾病随时间的演变以及识别心脏性猝死风险较高的患者方面具有重要的预后作用。心电图解读及其特征的仔细分析仍然是将诊断导向特定形式的基石，并为风险分层提供有用的工具。
