颈心综合征临床误诊分析

目的探讨颈心综合征的诊断方法与误诊情况。方法回顾性分析42例颈心综合征患者症状、心电图变化、影像学检查、误诊情况。结果42例患者经颈椎X线、CT或MRI检查，发现颈椎异常情况，冠状动脉造影或CTA冠脉无异常情况，心电图检查发现37例出现心律失常，出现ST-T改变者34例，确诊前误诊为基础心血管系统疾病31例（73．8％）：其中冠心病21例（50％），高血压心脏病6例（14．3％），心包炎3例（7．1％），心肌炎1例（2．4％），误诊为冠心病率最高，达50％。其他病例误诊为反流性食管炎2例，肋间神经痛1例，肩周炎2例，纵膈肿瘤1例。结论颈心综合征易误诊为冠心病。

Misdiagnosis Analysis of Carotid-cardiac Syndrome

Objective To investigate the clinical features and misdiagnosis of the cervical heart syndrome diagnosis. Methods 42 cases of cervical heart syndrome symptoms, ECG changes, imaging studies, misdiagnosis were analyzed retrospectively. Results 42 patients after cervical spine X ray, CT or MRI examination were found cervical abnormal, and by coronary angiography or CTA examination, coronary artery was normal, ECG examination revealed 37 patients with a variety of arrhythmias ,34 patients with ST-T change. 31 cases were misdiagnosed as cardiovascular diseases（73.8% ）： coronary heart disease 21 cases （ 50% ）, hypertensive heart disease 6 cases （ 14.3 % ）, pericarditis 3 cases （ 7.1% ）, myocarditis 1 （ 2.4% ）, the highest misdiag- nosed rate was coronary heart disease, amount to 50% , other, misdiagnosed as reflux esophagitis 2 cases, intercostal neuralgia 1 case, frozen shoulder 2 cases, and mediastinal tumor 1 case. Conclusion Carotid-cardiac syndrome was easily misdiagnosed as coronary heart disease.