错误诊断的频率在高伤性心肌病症中
Søren K Nielsen1,2,3, Torsten B Rasmussen3, Thomas M Hey1
1Department of Cardiology, Odense University Hospital, 5000 Odense, Denmark.
European heart journal. Quality of care & clinical outcomes
|April 25, 2024
概括
三分之一的被诊断为患有缩性心肌病变 (HCM) 或缩性阻塞性心肌病变 (HOCM) 的患者不符合诊断标准. 错误诊断导致不必要的家庭查和浪费资源,强调需要专业护理.
科学领域:
- 心脏病学 心脏病学
- 遗传学 是一个遗传学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 增高性心肌病变 (HCM) 是一种遗传性心脏病,其特征是左心室增高 (LVH) ≥15毫米.
- 家庭查对于早期发现和管理HCM至关重要,以防止不良结果.
- 准确诊断指数患者对于有效的家庭查至关重要.
研究的目的:
- 为了验证国际疾病分类第十次修订 (ICD-10) 代码对HCM (DI421) 和HOCM (DI422) 的诊断准确性.
- 为了确定这些ICD-10代码的患者是否符合HCM的确定的诊断标准.
主要方法:
- 患有HCM或HOCM的ICD-10代码的患者在心脏病学部门被确定.
- 通过心脏检查或医疗记录审查来验证诊断.
- 为了确认诊断,进行了重新检查或医院笔记审查.
主要成果:
- 在240名患有HCM/HOCM代码的患者中,有76人 (32%) 不符合诊断标准.
- 其中,39个具有正常或适度的LV壁厚.
- 剩下的37人患有LVH,其原因可以解释为其他疾病,如高血压或大动脉狭窄.
结论:
- 很大一部分为HCM/HOCM编码的患者不符合诊断标准.
- 错误的HCM诊断可能会导致不必要的焦虑和医疗费用.
- 专业心肌病学服务对于准确的HCM诊断和管理至关重要.
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