Abstract：Objective To explore the clinical value of ECG in presumptive diagnosis of malignant pericardial effusion. Methods Retrospective analysis was performed on 149 malignant tumor patients complicated with pericardial effusion. The etiology distribution of pericardial effusion was observed and ECG changes were analyzed. Results The patients with lung cancer, mammary cancer and lymphadenoma accounted for the majority of the 149 cases. Compared with the patients with benign pericardial effusion, the detection rates of nodal tachycardia, low voltage in chest/full leads and ST-T changes were significantly higher in the cases with malignant pericardial effusion, with statistically significant differences(P＜0.01). Conclusion The above ECG changes in primary tumor patients strongly suggest complicated malignant pericardial effusion. Other imaging data such as ultrasonic cardiogram or CT should be combined with ECG for further diagnosis.
黄瑞燕, 韩峰. 心电图初步诊断恶性心包积液的临床价值[J]. 实用心电学杂志, 2016, 25(3): 193-195.
HUANG Rui-Yan, HAN Feng. Clinical value of ECG in presumptive diagnosis of malignant pericardial effusion. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2016, 25(3): 193-195.
2016, Vol. 25 
