急性心肌炎患者心电图与心磁共振结果之间的关系:回顾性分析
Michaela Kyriakou1, Nikolaos P E Kadoglou2, Stefanos Sokratous1
1Department of Cardiology, Nicosia General Hospital, 2029 Nicosia, Cyprus.
Medicina (Kaunas, Lithuania)
|August 28, 2025
概括
在急性心肌炎中,心电图 (ECG) 异常,特别是ST升高和T波变化是常见的. 这些心电图结果与心磁共振成像结果有显著的相关性,表明心电图
科学领域:
- 心脏病学
- 医学成像
- 诊断工具
背景情况:
- 电心电图 (ECG) 是一种广泛使用的,虽然非特异性的,用于诊断急性心肌炎的工具.
- 心脏磁共振 (CMR) 已成为一种重要的非侵入性诊断方法.
- 评估心电图结果,心声,生物标志物和CMR特征之间的关系对于诊断急性心肌炎至关重要.
研究的目的:
- 在急性心肌炎患者中,评估基线心电图发现与CMR成像特征 (心肌胀和晚期加多增强- LGE) 之间的关联.
- 确定心电图异常与心声学参数和循环生物标志物的相关性.
- 探索心电图作为急性心肌炎的初始查工具的作用.
主要方法:
- 这是一项对86名急性心肌炎患者的回顾性观察研究.
- 数据采集包括心电图,心声图,素I,CRP和CMR成像 (胀和LGE).
- 患者分为三个心电图组:没有ST升高或T波异常 (NSTG),T波异常 (TWAG) 和ST升高 (STEG).
主要成果:
- 与其他心电图组相比,ST升高组的心肌和LGE在CMR上的患病率显著较高 (p < 0. 05).
- 在STEG中,峰值素水平升高.
- 在CMR上,T波异常 (TWA) 与心肌胀 (OR=3.15) 和LGE (OR=3. 93) 独立相关.
结论:
- 在急性心肌炎中,心电图异常,特别是ST升高和T波异常常见,与CMR发现有显著的关联.
- 对于最终诊断和风险分层来说,CMR仍然是必不可少的.
- 在急性心肌炎的多模式诊断策略中,心电图可以作为一种有价值的初始查工具.
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