Abstract:Objective To appraise the diagnosis value of Cornell index and Sokolow index by comparing their performance in pediatric electrocardiogram for left ventricular hypertrophy. Methods One thou- sand and eighty two cases of children inpatient from 2008 to 2010 in our hospital were divided into three groups: one months to three years old(232 cases in male and 184 cases in female),three years old to thirteen (198 cases in male and 143 cases in female),thirteen to seventeen(186 cases in male and 139 cases in female). Each group was divided into normal group and LVH group according to left ventricular diameter (LVD) detected by echocardiogram. Sensitivity,specificity and accurancy of Cornell index and Sokolow index were calculated. Results In the group of one months to three years, the sensitivity, specificity and accurancy of Cornell index were higher than Sokolow index for both sexes. There was no significant difference of the two indexes in the other two groups(>0.95),but the sensitivity and accurancy of Cornell index were higher than Sokolow index for both sexes in the later groups. Conclusion The effect of Cornell index is more effective than Sokolow index in pediatric electrocardiogram diagnosis for left ventricular hypertrophy.
向黎明, 刘鸣, 王曼萍, 夏菲, 赵良桥, 黄汉钦. 儿童心电图Cornell指数诊断左心室肥厚的价值[J]. 实用心电学杂志, 2012, 21(1): 4-.
XIANG Li-Ming, LIU Ming, WANG Man-Ping, XIA Fei, ZHAO Liang-Qiao, HUANG Han-Qin. Value of Cornell Index in ediatric electrocardiogram on diagnosis left ventricular hypertrophy. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2012, 21(1): 4-.
[1] Okeefe JH,Hammill SC,Freed MSeds. The complete guide to ECGs.A comprehensive study guide to improve ECG interpretation skills[M].Michigan:Physicians Press,2003: 21-481. [2]陆堃,于明华,龚渭冰.临床小儿心脏超声诊断学[M]. 广州:广东科技出版社,2002:28-32. [3]郭继鸿.心电图学[M].北京:人民卫生出版社,2002: 327-331. [4] Levy D,Garrison RJ,Savage DD,et al.Prognostic implica- tions of echocardiographically determined left ventricular mass in the Framingham heartstudy[J].N ErlgI J Med, 1990,322(22):1561-1566. [5]冷永群,吴杰,胡秋云,等.Cornell指数和Sokolow指数诊断左室肥大的价值[J].中国心脏起搏与心电生理杂志, 2005,19(2):121-123.