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《Modern Medical Imageology》 2013-05
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The Analysis of the Echocardiography and ECG Results in 45 Cases with Hypertrophic Cardiomyopathy

Wang Juxia;Department of Ultrasounol,3rd People Hospital of Pingliang City;  
Purpose: To analysis 45 cases with HCM by echocardiography and ECG,then evaluate the diagnostic value combined ultrasound with electrocardiogram. Materials and Methods: A retrospective analysis of the ultrasound and ECG performance in 45 cases with HCM. Results: In 45 patients with HCM,29 cases showed hypertrophic obstructive cardiomyopathy( HOCM) and 16 cases were non- obstructive hypertrophic cardiomyopathy( HNCM). HOCM mainly performed the thickening of the ventricular septal basal segment,septal thickness / left ventricular posterior wall thickness 1. 3,SAM signs were positive,the left ventricular outflow tract obstruction; HNCM showed the thickening of the middle and the apical segment in interventricular septum,with the myocardial echo disordering and strengthening,left ventricular cavity decreased and etc. ECG examination results with 45 cases are all abnormal,showed the varying degrees of ST- T changes in 36 cases( 80%),left ventricular high voltage in 33 cases( 73%),abnormal Q wave in 12 cases( 26. 6%),atrial premature beat in 5 cases( 11. 1%),premature ventricular contractions in 4 patients( 8. 8%),complete left bundle branch block in 1 case( 2. 2%). Conclusion: Echocardiography combined ECG has important value in the diagnosis of HCM.
【CateGory Index】: R542.2
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