心电图、心脏彩超、冠脉造影的区别,这篇讲的太清楚了~

2022-07-02 心卫士 心卫士

心脏检查三项详解,建议收藏

在心内科门诊常常听到病人抱怨:“需要做这么多检查,不是都做心电图了吗?怎么还要查心脏彩超?冠脉造影又是什么?”今天我们就来给大家说说这些检查各自的用途。

心脏电活动改变,心电图当场捕捉

先说一下心电图。心电图是检查心脏电活动的,比如心律不齐、早搏,以及急性心肌梗死都可以靠心电图诊断。这些病都伴随着心脏电活动的改变。但是心电图的诊断依赖于发病与否。

比如心慌这个症状,在发作期可能心电有改变,而缓解期心电完全可以恢复正常。所以有心脏不舒服,比如感到胸闷、心慌、胸痛的时候,第一要务不是去大医院找专家,而是就近立刻在发病时捕捉一份心电图,捕捉好发病时的心电图再找专家也不迟

常见的心电图有以下3种:

一、常规心电图:

静息心电图,是最常用的无创检查方法。这种检查方式在患者症状发生时检出率比较高,如果错过发作期进行检查,可能显示为正常心电图。

主要用途:

1. 判定早搏、房颤、室上速等各种心律失常

2. 了解是否有心肌缺血及缺血血管的初步定位。

图片

缺点:在疾病不发作时可能无法捕捉到异常的心电图,出现漏诊。如有些冠心病患者,在无胸痛发作时,心电图可表现为完全正常。

二、动态心电图(又称Holter)

与普通心电图相比,动态心电图于24小时内可连续记录多达10万次左右的心电信号,可以说是普通心电图的“强化升级版”,提高了心律失常的检出率

Holter在病人的胸前贴上数个电极片,然后接在一个像随身听大小的机器上,配挂在腰际。里面有录音带和电池,外壳有一个按钮,不舒服时就按一下,算是做一个记号。它一般可连续记录患者24—48小时内的全部心电图。背Holter做心电图检查,可以适当的活动,比如吃饭、走路、爬楼梯等。

主要用途:

1. 提高了心律失常的检出率;

2. 提高了一过性心肌缺血的检出率;

3. 对起搏器功能的评价;

4. 对抗心律失常药物效果评价。

图片

缺点:

1. Holter的操作比较繁琐,会限制日常生活的很多活动,比如洗澡等。

2. 贴在身上的电极片一旦脱落,会影响监测的连续性,从而导致漏检,比如阵发性的房颤可能就查不出来;

3. 电极片脱落后,需要重新回到医院由医生粘贴,比较麻烦。

三、运动平板心电图:

就是让受测者在平板上运动以增加心脏负荷。在此过程中测试者若胸痛发作,且监护的心电图出现明显改变并达到相应的诊断标准,就可为疾病诊断提供依据。

用途:临床高度怀疑冠心病,但在安静状态下心电图正常的患者

图片

需要注意:负荷试验是通过各种方法诱发心肌缺血,这对病情较重的患者很危险,因此,为了安全起见,属于以下情况的患者不适合做运动试验:

1.不稳定心绞痛;

2.急性心肌梗死急性期;

3.严重心律失常;

4.心功能不全;

5.血压高于180/110毫米汞柱。

心脏结构改变,心脏彩超看得见

说完心电图,接下来给大家说说心脏彩超。

有些心脏病会引起心脏电活动的改变,但是有些心脏的疾病却不影响心电,而只影响心脏本身的结构。

比如心脏扩大了,心脏收缩无力了,心脏的闸门关得不严密了,这些疾病的诊断及发现都更多的依赖于心脏超声的检查,这种病变一般不随症状的缓解而缓解,所以可以随时检查。

心脏彩超,就相当于彩超医师的“透视眼”,不需要开胸,就可以看到心脏的大小、内部结构、运动情况等。除了探头压迫可能会有疼痛或不适感外,对患者没有任何创伤。

主要用途:

1. 用于对各种先心病、心脏瓣膜病的诊断;

2. 用于各种心肌病、心包疾病的诊断;

3. 对心功能的评估。

图片

缺点:

1. 部分严重肺气肿、胸廓畸形等患者可影响图像质量;

2. 主观性强,特别是对先心病的诊断最好找三级医院心内科心超医生检查。

需要注意:在检查近期不要剧烈运动,避免感冒

冠脉造影,冠心病诊断“金标准”

冠状动脉是给心脏供血的血管,当这个血管或者它的分支出现病变,我们就会患上冠心病(心肌缺血)。在轻病变的时候, 会没有症状,或者出现心绞痛。在严重病变的时候会有形成心肌梗死的风险

虽然心电图能间接反映心脏缺血时候的病变,但仍存在一定的误差或漏诊。所以对于有冠心病的患者,都应该做一下这个检查,以了解病变程度。这项检查费用相对高一些。

图片

冠状动脉的造影需通过介入技术,从患者的股动脉或桡动脉到冠状动脉建立一个通路, 向冠状动脉内注射造影剂,使心脏冠状动脉的主要分支显影,以判断冠状动脉有无狭窄、狭窄的部位、程度、范围等。

注意事项:冠状动脉造影一般是在做完前几项检查后,基本判断是冠心病后,再次确诊的。检查前需要确认血小板含量和凝血功能,以及是否对碘过敏,因为做造影是需要用到碘制剂帮助显影。

主要用途:

1. 用于确诊冠心病;

2. 冠脉支架术后复查。

缺点:

1. 有创伤性,有一定并发症的风险;

2. 无法对斑块性质进一步准确评估(哪些是易损斑块)。

专家提醒,心脏疾病无小事,如果出现心脏方面的不适,建议及时就医检查,以免错过最佳治疗时间

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    2022-07-04 sodoo
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    2022-07-03 ms4000000099863083

    0

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    2022-07-03 157725_7607

    电生理

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    2022-07-03 学医无涯

    学习一下

    0

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