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Value of color Doppler ultrasound combined with electrocardiogram in the diagnosis of hypertensive heart disease |
DING Lin-ling LI Wen WANG Meng-jun WU Gao-bo HE Hui HU Jiao |
Department of Ultrasound Imaging, Yantian District People′s Hospital in Shenzhen City, Guangdong Province, Shenzhen 518081, China |
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Abstract Objective To explore the value of color Doppler ultrasound combined with electrocardiogram in the diagnosis of hypertensive heart disease.Methods From January 2019 to December 2019, 72 patients suspected with hypertensive heart disease in our hospital were selected.After admission, all patients were examined by electrocardiogram and color Doppler ultrasound.The sensitivity,specificity and accuracy of electrocardiogram,color Doppler ultrasound and their combined examination in the diagnosis of hypertensive heart disease were compared,and the detection rates of electrocardiogram,color Doppler ultrasound and their combined examination in different types of hypertensive heart disease were compared.Results The sensitivity,specificity and accuracy of color Doppler ultrasound and combined examination in the diagnosis of hypertensive heart disease were higher than those of electrocardiogram, the differences were statistically significant (P<0.05).There were no significant differences in the sensitivity, specificity and accuracy between color Doppler ultrasound and combined examination(P>0.05).The detection rates of left ventricular enlargement,left ventricular posterior wall hypertrophy, interventricular hypertrophy and left ventricular hypertrophy of color Doppler ultrasound and combined examination were significantly higher than those of electrocardiogram, the differences were statistically significant(P<0.05).The detection rate of left ventricular enlargement of color Doppler ultrasound was lower than thoat of combined examination (P<0.05), and there were no significant difference in the detection rates of left ventricular posterior wall hypertrophy, interventricular hypertrophy and left ventricular hypertrophy between color Doppler ultrasound and combined examination (P>0.05).Conclusion The application value of color Doppler ultrasound in hypertensive heart disease is significant, and the diagnostic efficiency is higher than that of electrocardiogram, which combined with electrocardiogram examination is helpful to improve the accuracy of the examination of patients with hypertensive heart disease.
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