心脏彩超在多病因慢性心力衰竭诊断中的应用价值

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Abstract Objective To explore the application value of echocardiography in the diagnosis of chronic heart failure with multiple causes.Methods From January 2019 to November 2020,113 cases of patients suspected with multiple causes of chronic heart failure in Ji′an Hospital of Shanghai Oriental Hospital were examined by conventional electrocardiogram,Holter and echocardiography.According to the clinical comprehensive diagnosis results,the diagnostic results of conventional electrocardiogram,Holter and echocardiography were compared,and the echocardiography indexes of patients with chronic heart failure and non chronic heart failure were compared.Results In the diagnosis of chronic heart failure,the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of Holter and echocardiography were higher than those of conventional electrocardiogram,the differences were statistically significant(P＜0.05).There were no significant differences in the sensitivity,specificity,accuracy,positive predictive value and negative predictive value between Holter and echocardiography(P＞0.05).The left ventricular ejection fraction(LVEF)and ratio of peak early to late diastolic filling velocity of the left ventricular(E/A)values of patients with chronic heart failure were lower than those of patients without chronic heart failure,and the left ventricular end diastolic volume(LVEDV),left ventricular end systolic volume(LVESV)and Tei index of patients with chronic heart failure were higher than those of patients without chronic heart failure,and the differences were statistically significant(P＜0.05).Conclusion Echocardiography has good diagnostic value in the diagnosis of chronic heart failure with multiple causes,and which can be used to judge chronic heart failure by detecting LVEF,E/A value,Tei value and other indicators.

Key words： Chronic heart failure Diagnosis Echocardiography Holter

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	WU Zhao-lan

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WU Zhao-lan. Application value of echocardiography in the diagnosis of chronic heart failure with multiple causes[J]. 中国当代医药, 2021, 28(22): 174-176.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I22/174

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