Prevalence of ECG abnormalities in an international survey of patients with suspected or confirmed heart failure at death or discharge
Prevalence of ECG abnormalities in an international survey of patients with suspected or confirmed heart failure at death or discharge
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DOI：
10.1016/j.ejheart.2006.11.003
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发表时间：
2007-05-01
影响因子：
18.2
通讯作者：
Follath, Ferenc
中科院分区：
文献类型：
--
作者：
Khan, Nasrin K.;Goode, Kevin M.;Follath, Ferenc
背景资料：大多数怀疑有心力衰竭（HF）的患者将得到12导联心电图（ECG），但其效用，排除HF或协助其management.Methods很少被调查：欧洲心力衰竭调查确定了11,327例患者住院与疑似诊断HF从115家医院在24个国家。从9315例患者中获得ECG，其中5934例进行了心脏成像检查。排除或诊断主要结构性心脏病（MSHD）或主要左心室收缩功能障碍（MLVSD）和治疗决策的效用进行了评估。结果：MSHD是目前在70%和MLVSD在54%的患者整体，但只有21%和5%，分别，如果心电图是完全正常的。70%的MLVSD。诊断模型表明，在这一人群中，单独的心电图标准对于诊断或排除重要心脏病是不准确的。然而，2468例（42%）有心电图的发现，应用于指导选择therapy.Conclusions：正常的心电图是罕见的疑似HF患者，但在这种情况下，诊断价值有限。心电图在指导治疗中具有重要作用。(C)2006年欧洲心脏病学会。出版社：Elsevier B.V版权所有。
Background: Most patients suspected of having heart failure (HF) will get a 12-lead electrocardiogram (ECG) but its utility for excluding HF or assisting in its management has rarely been investigated.Methods: The EuroHeart Failure survey identified 11,327 patients hospitalised with a suspected diagnosis of HF from 115 hospitals in 24 countries. ECGs were obtained from 9315 patients, of whom 5934 had cardiac imaging tests. The utility of the ECG was assessed for excluding or diagnosing major structural heart disease (MSHD) or major left ventricular systolic dysfunction (MLVSD) and for therapeutic decision making.Findings: MSHD was present in 70% and MLVSD in 54% of patients overall but in only 21% and 5%, respectively, if the ECG was entirely normal. However, 70% of MLVSD. Diagnostic models suggested that electrocardiographic criteria alone were not accurate for the diagnosis or exclusion of important heart disease in this population. However, 2468 patients (42%) had an electrocardiographic finding that should be used to guide the choice of therapy.Conclusions: A normal ECG is rare in patients with suspected HF but has limited diagnostic value in this setting. The ECG has an important role in guiding therapy. (C) 2006 European Society of Cardiology. Published by Elsevier B.V All rights reserved.