心電圖與心臟超音波診斷左心室肥厚的相關性

The Diagnostic Correlation of Left Ventricular Hypertrophy between Electrocardiography and Echocardiography

陳業鵬(Yeh-Peng Chen) ； 謝禮全(Li-Chuan Hsieh) ； 林楨智(Jen-Jyh Lin) ； 羅秉漢(Ping-Han Lo) ； 張坤正(Kuan-Cheng Chang) ； 洪瑞松(Jui-Sung Hung)

《內科學誌》 20卷2期 (2009/04) Pp. 99-105

https://doi.org/10.6314/JIMT.2009.20(2).01

摘要

臨床上，心電圖一直是內科醫師診斷心臟電氣生理活動、心臟結構及冠狀動脈灌流的基本檢查，然而，左心室肥厚是在心電圖判讀上常見的發現；對心臟科醫師而言，依Framingham Heart Study，左心室肥厚更是增加心血管疾病發病率及死亡率的重要因子之一。因此如何在心電圖上提高左心室肥厚判讀的正確性，對臨床醫師而言非常重要。也因爲在心電圖上診斷左心室肥厚的判斷標準有許多種，因此本文將探討心電圖判讀與心臟超音波在診斷左心室肥厚的相關性，進而提早發現並確立左心室肥厚，以藥物加以控制。

關鍵字

左心室肥厚 ； 心電圖 ； 心臟超音波 ； 左心室質量指數 ； 相對心室壁厚度

並列摘要

In clinical practice, electrocardiography is a kind of basic examination for changes of electrophysiology, cardiac structure and coronary perfusion, besides, left ventricular hypertrophy is often met by electrocardiography. In Framingham Heart Study, left ventricular hypertrophy is an important factor which will increase cardiovascular morbidity and mortality, so, how to increase the accuracy of left ventricular hypertrophy by electrocardiography is very important for clinical physicians. However, there are several diagnostic criteria for left ventricular hypertrophy by electrocardiography, so, in this article, we will discuss about the correlation of left ventricular hypertrophy between electrocardiography and echocardiography in purpose to early diagnosis and well control left ventricular hypertrophy.

並列關鍵字

Left ventricular hypertrophy ； Electrocardiography ； Echocardiography ； Left ventricular mass index ； Relative wall thickness