SENSITIVITY AND SPECIFICITY OF VECTORCARDIOGRAPHY IN DIAGNOSTICS OF ACUTE MYOCARDIAL INFARCTION COMORBID WITH LIVER STEATOSIS AND NON-ALCOHOLIC STEATOHEPATITIS

Autor: I. E. Belaya, V. I. Kolomiets
Jazyk: ruština
Rok vydání: 2015
Předmět:
Zdroj: Российский кардиологический журнал, Vol 0, Iss 12, Pp 27-36 (2015)
Druh dokumentu: article
ISSN: 1560-4071
2618-7620
DOI: 10.15829/1560-4071-2015-12-169-173
Popis: Aim. To reveal vectorcardiographic (VCG) signs of an acute widespread myocardial infarction (MI) with Q, of the anterior wall of the left ventricle (LV), comorbid with hepatic steatosis and non-alcoholic steatohepatits, and to estimate the specificity and sensitivity of the method in diagnostics of comorbid pathology.Material and methods. Totally, 14 patients studied with primary widespread MI of the anterior wall of LV (1st group), mean age — 69±3 y.; 43 patients with comorbid course of primary MI of anterior wall and hepatic steatosis or non-alcoholic steatohepatitis (2nd group) — mean age 66±2 y. In both groups women predominated. Instrumental study included electrocardiography, VCG, echocardiography and ultrasound liver examination. VCG performed on a modern cardiodiagnostic multifunctional equipment MTM-SKM. For estimation of sensitivity and specificity of VCG the four-pole net was applied.Results. In comorbidity patients via VCG there was shifting of QRS loop down-, right- and backwards with a decrease of collected square 2,1 times (p
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