常规心电图诊断原发性醛固酮增多症患者左心室肥厚的效能评价

摘要/Abstract

摘要： 目的探讨常规心电图在原发性醛固酮增多症（PA）患者左心室肥厚（LVH）诊断的效能评价。方法纳入2020年11月1日至2024年8月1日就诊于泉州市第一医院并确诊为PA患者33例,通过计算灵敏度和特异度以及受试者工作特征曲线（ROC曲线）来评估常规心电图诊断PA患者LVH的准确性。结果 Sokolow-Lyon电压标准、Cornell电压-时间乘积、SD+SV4诊断PA患者LVH的灵敏度分别为10.52%、10.52%、52.63%,特异度分别为85.71%、100.00%、85.71%。Cornell电压-时间乘积、SD+SV4与PA患者LVH显著相关（均P<0.05）,ROC曲线下面积分别为AUC=0.842、0.739（均P<0.05）。结论 SD+SV4心电图标准在PA患者LVH的诊断中提供了更高的敏感度。Cornell电压-时间乘积在诊断PA患者LVH方面也显示出良好的性能。心电图仍然是早期筛查和检测PA患者LVH的重要工具。

关键词: 原发性醛固酮增多症, 左心室肥厚, Sokolow-Lyon电压标准, Cornell电压-时间乘积, SD+SV4

杨凯妮, 江惠琼. 常规心电图诊断原发性醛固酮增多症患者左心室肥厚的效能评价[J]. 心血管病防治知识, 2024, 14(19): 19-21.

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