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| Clinical comparison of electrocardiogram and cardiac color Doppler ultrasound in diagnosis of hypertensive heart disease |
| LI Xing |
| Department of Electrocardiographic Function, Jingdezhen Second People′s Hospital, Jiangxi Province, Jingdezhen 333000, China |
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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.
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| [4] |
李燕君，崔健嫦.应用超声心动图与外周血管超声联合诊断高血压心脏病的效果观察[J].中国医药科学，2020，10（3）：217-219.
|
| [1] |
林娜.高血压心脏病患者的心脏彩超及心电图诊断价值研究[J].当代医学，2018，24（27）：141-143.
|
| [2] |
余红，乐怀浙.彩色多普勒超声诊断高血压性心脏病临床应用分析[J].医学影像学杂志，2019，27（2）：364-366.
|
| [3] |
王蔚文.临床疾病诊断与疗效判断标准[M].北京：科学技术文献出版社，2010：201.
|
| [5] |
文翠，王丹郁.心电图与心脏超声检查在高血压性心脏病中的诊断价值比较[J].中国当代医药，2020，27（13）：125-127.
|
| [6] |
郑云松.老年高血压病和冠心病所致左室肥厚患者心脏微血管病变的特点及与心脏事件发生率的关系[J].当代医学，2017，23（7）：114-115.
|
| [7] |
魏明慧，薛明明.高血压性心肌肥厚相关信号通路的研究进展[J].中国心血管病研究，2020，18（5）：460-464.
|
| [8] |
丁琳灵，李雯，王梦君，等.彩色多普勒超声联合心电图检查在高血压心脏病诊断中的价值[J].中国当代医药，2020，27（22）：163-165.
|
| [9] |
贾国伟，李银花，范妮芳，等.探讨B 超联合心电图诊断高血压性心脏病的临床效果[J].吉林医学，2016，37（7）：1663-1664.
|
| [10] |
任军勇，刘炯鸥.心脏彩超与心电图对高血压性心脏病诊断的对比性探讨[J].内蒙古医科大学学报，2018，40（1）：17-20.
|
| [11] |
刘建青.B 超联合心电图在高血压性心脏病中的诊断价值[J].中西医结合心脑血管病杂志，2018，16（10）：1471-1472.
|
| [12] |
高次子，张晓红，王静芳，等.超声心动图对高血压性心脏病诊断的应用价值分析[J].安徽医学，2017，38（10）：1296-1298.
|
| [13] |
朱雯，马飞儿，刘秧，等.高血压性心脏病应用心脏彩色多普勒超声诊断临床价值分析[J].医学影像学杂志，2017，27（9）：1819-1821.
|
| [14] |
周笔峰，符妹垂，邹婧，等.彩色多普勒超声诊断老年高血压性心脏病的价值[J].中国老年学杂志，2020，40（9）：1805-1807.
|
| [15] |
肖畅.超声心动图联合外周血管超声对高血压性心脏病检出率 的 影响[J].河 南医 学研究，2020，29（19）：3576-3577.
|
| [16] |
张宁.高血压性心脏病应用心脏彩色多普勒超声诊断临床价值研究[J].影像研究与医学应用，2019，3（20）：78-79.
|
| [17] |
李素梅，王琪，李广霞，等.彩色多普勒超声诊断高血压性心脏病的应用[J].影像研究与医学应用，2019，3（7）：109-110.
|
| [18] |
孙静.心脏彩色多普勒超声在高血压心脏病诊断中的应用价值[J].河南医学研究，2019，28（9）：1677-1678.
|
|
|
|
