应用Peguero-Lo Presti指数诊断左心室肥厚伴完全性右束支传导阻滞的价值

陈秀雯; 张海涛

doi:10.13201/j.issn.1001-1439.2019.08.015

应用Peguero-Lo Presti指数诊断左心室肥厚伴完全性右束支传导阻滞的价值

陈秀雯,
张海涛^,

- 1 大连医科大学附属第一医院(辽宁大连, 116011)

详细信息

通讯作者: 张海涛, E-mail:liangzhangshi329@126.com

中图分类号: R541.7

收稿日期: 2019-03-15

Value of Peguero-Lo Presti Index in the diagnosis of left ventricular hypertrophy with complete right bundle branch block

CHEN Xiuwen,
ZHANG Haitao^,

- First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116011, China

More Information

Corresponding author: ZHANG Haitao, E-mail: liangzhangshi329@126.com

Received Date: 15 March 2019

摘要

摘要: 目的:分析应用Peguero-Lo Presti指数诊断左心室肥厚 (LVH) 伴完全性右束支传导阻滞 (CRBBB) 的价值。方法:选取271例CRBBB患者, 进行心电图、超声心动图检查, 以超声心动图结果作为金标准, 分为LVH阳性组和阴性组, 分析评价心电图各参数S_V1、S_V2、S_V3、S_V4、S_V5、S_V6、S_D、R_aVL、R_V5、及R_V6振幅、QRS波群时限、QTc间期, Peguero-Lo Presti指数 (S_V4+S_D) 、Sokolow指数 (S_V1+R_V5) 、Cornell指数 (S_V3+R_aVL) 诊断LVH合并CRBBB的准确性。结果:S_V3、S_V4、S_V5、S_V6、S_D、QRS波群时限、QTc间期和Peguero-Lo Presti指数 (S_V4+S_D) 均为诊断LVH合并CRBBB的可靠指标;其中Peguero-Lo Presti指数 (灵敏度46.2%、特异度77.2%, AUC0.640) 准确性高于Sokolow指数 (灵敏度5.8%、特异度97.0%, AUC 0.598) 和Cornell指数 (灵敏度19.2%、特异度95.8%, AUC 0.626) 。结论:Peguero-Lo Presti指数是诊断LVH合并CRBBB心电图参数中最准确的, 其诊断价值高于Sokolow指数和Cornell指数。
- Peguero-LoPresti指数 /
- 左心室肥厚 /
- 完全性右束支传导阻滞
Abstract: Objective:To evaluate the value of Peguero-Lo Presti index in the diagnosis of left ventricular hypertrophy (LVH) with complete right bundle branch block (CRBBB) .Method:The 271 patients with CRBBB were examined by ECG and echocardiography.The results of echocardiography were divided into LVH positive group and LVH negative group.The parameters of ECG such as S_V1, S_V2, S_V3, S_V4, S_V5, S_V6, S_D, R_aVL, R_V5, and R_V6 amplitude, QRS wave group time limit, QTc interval, Peguero-Lo Presti index (S_V4+S_D) , Sokolow index (S_V1+R_V5) , Cornell index (S_V3) were analyzed and evaluated.Result:S_V3, S_V4, S_V5, S_V6, S_D, QRS wave group time, QTc interval and Peguero-Lo Presti index (S_V4+S_D) were reliable indicators for diagnosis of LVH with CRBBB.Peguero-Lo Presti index (sensitivity 46.2%, specificity 77.2%;AUC 0.640) was more accurate than Sokolow index (sensitivity 5.8%, specificity 97.0%;AUC 0.598) and Cornell index (sensitivity 19.2%, specificity 95.8%;AUC 0.626) .Conclusion:Peguero-Lo Presti index is the most accurate electrocardiogram parameter in the diagnosis of LVH combined with CRBBB.Its diagnostic value is higher than Sokolow index and Cornell index.
- Peguero-Lo Presti index /
- left ventricular hypertrophy /
- complete right bundle branch block

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参考文献(8)

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