Abstract：Objective To compare the clinical value of electrocardiogram and cardiac color Doppler ultrasound in diagnosing hypertensive heart disease. Methods A total of 70 patients with suspected hypertensive heart disease who were examined in the Second People′s Hospital of Jingdezhen from October 2019 to May 2020 were selected as the research subjects. All patients underwent heart color ultrasound and electrocardiogram examination, and the comprehensive examination results of clinical history, physical examination and laboratory examination were taken as the gold standard,the value of two examination methods in the diagnosis of hypertensive heart disease were compared. Results Among 70 suspected hypertensive heart disease patients, 46 hypertensive heart disease patients were confirmed by the gold standard. The accuracy of hypertensive heart disease diagnosed by cardiac color Doppler ultrasound was 92.85% (65/70),the sensitivity was 93.48% (43/46), the specificity was 91.67% (22/24), and the positive predictive value was 95.56%(43/45), the negative predictive value was 88.00% (22/25), were all higher than those diagnosed by electrocardiogram[68.57% (48/70), 71.74% (33/46), 62.50% (15/24), 78.57% (33/42), 53.57% (15/28)], the difference was statistically significant (P＜0.05). According to Kappa consistency measurement, the diagnosis of hypertensive heart disease by cardiac color Doppler ultrasound had good consistency with the comprehensive examination results (Kappa=0.843, P=0.000);the diagnosis of hypertensive heart disease by electrocardiogram had poor consistency with comprehensive examination results (Kappa=0.329, P=0.000). Conclusion Cardiac Color Doppler ultrasound applied to the clinical diagnosis of hypertensive heart disease has higher accuracy, sensitivity and specificity of clinical diagnosis than those of electrocardiogram, and the results have good consistency with the results of comprehensive examination, which can provide reliable and effective imaging basis for hypertensive heart disease, and the diagnosis effect is better.
李星. 心电图与心脏彩超诊断高血压心脏病的临床比较[J]. 中国当代医药, 2021, 28(28): 126-128-132.
LI Xing. Clinical comparison of electrocardiogram and cardiac color Doppler ultrasound in diagnosis of hypertensive heart disease. 中国当代医药, 2021, 28(28): 126-128-132.
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