天津医药 ›› 2018, Vol. 46 ›› Issue (11): 1230-1232.doi: 10.11958/20180881

• 临床研究 • 上一篇    下一篇

先天性心脏病儿童与正常儿童圆顶尖角型T波的比较

过瑾   

  1. 南京医科大学附属无锡市人民医院心功能科 (邮编214023)
  • 收稿日期:2018-06-05 修回日期:2018-10-08 出版日期:2018-11-15 发布日期:2018-11-20
  • 通讯作者: 过瑾 E-mail:guojin1025@163.com

The distinguish of dome and dart T waves between children suffered from congenital heart disease and healthy children

GUO Jin   

  1. Department of Cardiac Function, Wuxi People’ s Hospital Affiliated to Nanjing Medical University, Wuxi 214023, China
  • Received:2018-06-05 Revised:2018-10-08 Published:2018-11-15 Online:2018-11-20

摘要: 摘要: 目的 比较先天性心脏病患儿与超声心动图正常儿童的圆顶尖角型T波在形态及高度上的区别。方法 回顾性分析本院2015年12月—2016年12月间心电图检查出圆顶尖角T波的儿童心电图114例, 根据超声心动图结果分成先天性心脏病组 (先心病组) 71例和超声心动图正常组 (正常组) 43例, 通过测量2组圆顶尖角型T波的高度比较2组圆顶尖角型T波在形态上的区别; 先心病组患者根据先天性心脏病种类不同分组, 比较各组间圆顶尖角型T波的高度。结果 与正常组相比, 先心病组的圆顶尖角型T波的第二峰大于第一峰的比例更高 (52.11% vs. 18.60%), 且第二峰尖角波高度更高。不同先天性心脏病病种之间圆顶尖角型T波在高度及形态上差异无统计学意义 (P> 0.05)。结论 圆顶尖角型T波可出现在先天性心脏病患儿心电图中, 亦可出现在超声心动图正常儿童心电图中, 但先天性心脏病患儿有着更高的尖角T波, 且第二峰高于第一峰。

关键词: 心电描记术, 先天性心脏病, 圆顶尖角型T波

Abstract: Abstract: Objective To investigate the distinguish of dome and dart T waves between children suffered from congenital heart disease and healthy children. Methods Data of 114 children with ECGs of dome and dart T waves were retrospectively analyzed. According to echocardiography these children were divided into two groups, congenital heart disease group (n=71) and healthy group (n=43). The amplitude and the waveforms of dart T wave were measured and compared between two groups. Results In contrast to healthy group, congenital heart disease group showed a significantly higher dart T wave. The proportion of amplitude of dart T wave was higher than dome T wave in congenital heart disease group than that of healthy group (52.11% vs. 18.60%). There were no significant differences in the height and morphology of dart T wave between different kinds of congenital heart diseases (P>0.05). Conclusion Dome and dart T waves can be observed in ECGs of children with congenital heart disease and healthy children. The dart T wave is prominent in congenital heart disease, and the dart wave is higher than the dome wave.

Key words: electrocardiography, congenital heart disease, dome and dart T wave