异常心电图对 patent foramen ovale 的预测价值:一个回顾性研究
Peng Jin1, Piqi Jiao1, Juan Feng1
1Department of Cardiovascular Medicine, the 940th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Lanzhou, China.
Clinical cardiology
|September 5, 2023
概括
电心电图 (ECG) 的发现,特别是制的R波,与成年人形孔 (PFO) 有关. 将心电图结果与右束分支块 (RBBB) 和胸前心电回声 (TTE) 结合起来,可能有助于早期发现PFO.
科学领域:
- 心脏病学 心脏病学
- 医学诊断 医学诊断 医学诊断
- 电心电图是指心电图.
背景情况:
- 圆孔 (PFO) 是一种常见的心脏异常.
- 识别PFO的非侵入性标志物对于早期诊断和管理至关重要.
- 患有PFO的患者心电图 (ECG) 的特征需要进一步调查.
研究的目的:
- 在被诊断患有PFO的成年患者中识别特定的ECG特征.
- 评估这些ECG特征的预测价值,以检测PFO.
- 探索ECG发现与其他成像方式的联合诊断实用性.
主要方法:
- 追溯分析267名成年患者接受了心电图,胸前心电图 (TTE) 和透食心电图 (TEE) 与对比.
- 对ECG进行系统审查,以检测右捆分支块 (RBBB) 和工R波的存在.
- 统计分析包括后勤回归来确定相关性和预测值.
主要成果:
- 在下面的线索中,在45.3%的PFO患者中观察到工R波,而在没有PFO的患者中,这一比例为21.2%.
- 工R波和RBBB的组合显示了0.507的灵敏度和0.758.758的特异性.
- 结合使用TTE,编织R波和RBBB,获得了PFO检测的最高准确度 (0.712) 和灵敏度 (0.801).
结论:
- 在心电图上编织R波与成人患者中PFO的存在有显著的关联.
- 编织R波,RBBB和TTE的组合可以作为PFO早期,非侵入性检测的宝贵工具.
- 进一步的研究可以完善心电图在PFO查协议中的作用.
关键词:
针织工艺 R 波浪的使用电心电图 (ECG) 是一种心电图.形形孔是圆形的patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent patent
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