Analysis of different methods in the diagnosis of senile degenerative heart valvular disease with other heart disease

Abstract

Objective To study different methods in the diagnosis of senile degenerative heart valvular disease(SDHVD) with other heart disease.Methods From July 2012 to July 2013,a total of 100 SDHVD patients with other types of heart disease underwent electrocardiogram(ECG),X-ray,color doppler echocardiography (CDE),ultrasound heartbeat diagram and physical examination (PE).The test results were analyzed.Results In patients with SDHVD combined with other types of heart disease,the clinical manifestations including enlarged heart,heart murmur,arrhythmia and heart failure.Heart murmur accounting for 64％ (64/100),heart failure for 70％ (70/100),arrhythmia for 60％ (60/100),X-ray left ventricular enlargement for 58％ (58/100) were higher than the X-ray right ventricular enlargement [9％ (9/100)] and fully expanded [7％ (7/100)].There were significant differences(P all ＜0.05).CDE revealed that the lesions of AV rate was 78％ (78/100),MR rate was 13％ (13/100),which were much higher than the AV with MR rate [8％ (8/100)].The difference was significant (P ＜ 0.05).Conclusions Elderly heart disease patients are suggested to implement CDE examination in order to reduce the missed diagnosis and misdiagnosis of SDHVD. Key words: Senile degenerative heart valvular disease; Heart disease; Color Doppler echocardiography