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《Chongqing Medicine》 2017-17
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Diagnostic value of echocardiography in myocardial infarction and its complications

Tian Tian;Xie Zhaopeng;Chen Zhuo;Zhao Rong;Department of Ultrasound,Chongqing Municipal Hospital of Traditional Chinese Medicine;Second Department of Ultrasound,Beijing Anzhen Hospital;  
Objective To study the value of echocardiography in the diagnosis of myocardial infarction(MI)and its complications.Methods The examination data in 140 cases of MI were collected from January 2012 to January 2016 and performed the analysis and comparison.Results In the ultrasound examination results in 140 cases,120cases appeared varying degrees of segmental ventricular wall motion abnormalities,its diagnostic rate to MI was 85.71%,which of EKG was 78.57%,the MI detection rate of echocardiography and ECG combined examination was 90.71%,which was higher than that of single use of echocardiography or ECG.With the coronary angiogra-phy results as the control,the detection rate of echocardiography for the coronary arterial lesion sits was 82.86%.Among 140 cases of MI,22 cases of complications(15.71%)were de-tected out by echocardiography,including 7cases of true ventricular aneurysm(5.00%),4cases of left ventricular mural thrombosis(2.86%),1case of ventricular septal perforation(0.71%)and 10 cases of ischemic mitral regurgitation(7.14%).Conclusion Echocardiography has higher accuracy in the MI diagnosis,com-bining with ECG can further improve the diagnostic rate.
【Fund】: 重庆市卫生和计划生育委员会科研基金资助项目(zy20150239)
【CateGory Index】: R540.45;R542.22
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