心电图T波对肥厚型心肌病的诊断价值

目的分析常规12导联心电图（ECG），探讨T波变化对诊断肥厚型心肌病（HCM）的意义。方法对经临床及超声心动图检查确诊61例HCM患者的ECG进行回顾分析。结果心电图T波倒置47例，占77．0％（47／61）；伴ST段下移者17例，占27．9％（17／61）；单纯ST段下移不伴T波倒置者仅2例，占3．3％（2／61）。非室间隔肥厚型及全心肥厚型患者心电图T波倒置为100％，室间隔肥厚型T波倒置占57．4％（35／61）。结论固定性T波倒置高度提示HCM的诊断。

Significance of ECG T-Wave in the Diagnosis of Hypertrophic Cardiomyopathy

[Objective] To analyze the conventional 12 lead electrocardiogram (ECG), and explore the significance of T-wave in the diagnosis of hypertrophic cardiomyopathy (HCM). [Methods]Retrospective analysis was made on the ECG of 61 HCM patients diagnosed by clinical and ultrasonic examination. [Results]ECG T-wave inversion was found in 47 cases (77.0%; 47/61); ECG T-wave inversion combined with ST segment depression was found in 17 cases (27.9%;17/61 ); simple ST segment depression was found in 2 cases (3.3%; 2/61...