Abstract：Objective To explore the diagnostic value of clockwise rotation electrocardiogram(ECG) for right ventricular hypertrophy in patients with pulmonary tuberculosis. MethodsEchocardiogram was performed on patients with pulmonary tuberculosis and clockwise rotation ECG so as to divide them into right ventricularhypertrophy group and nonrightventricularhypertrophy group. Besides clockwise rotation, compare the differences of other ECG changes between the two groups.ResultsAmong 86 cases, it indicated by echocardiogram that 40 cases(46.5%) fell in the right ventricular hypertrophy group while 46(53.5%) in the other. Compared with patients in nonrightventricularhypertrophy group, the other group showed higher incidence rate of other concomitant ECG changes, such as right axis deviation, nodal tachycardia, ST-T change as well as high and sharp P wave. In addition, the differences possessed statistical significance（P＜0.05）. ConclusionClockwise rotation ECG of patients with pulmonary tuberculosis have some value in the diagnosis of right ventricular hypertrophy. It strongly indicates the chance of right ventricular hypertrophy, especially when right axis deviation, nodal tachycardia, ST-T change as well as high and sharp P wave appear.
2013, Vol. 22 
