动态心电图在冠心病患者心律失常和心肌缺血检查中的应用价值分析(1)
[摘要] 目的 探討动态心电图在冠心病患者心律失常和心肌缺血检查中的应用价值。方法 方便选择2016年1月—2017年12月期间该院心内科接受治疗的150例冠心病患者，所有患者均进行常规心电图和动态心电图两种方法进行检查。结合临床确诊结果，对比两种方法对冠心病患者心律失常和心肌缺血的检出情况。 结果 动态心电图对冠心病患者心肌缺血及心律失常的检出率[80.0%(120/150)、82.7%(124/150)]明显高于常规心电图的检出率[52.0%(78/150)、54.7%(82/150)]，差异有统计学意义(χ2心肌缺血2=26.203，χ2心律失常2=27.329，P<0.05)。动态心电图在房性早搏成对，室性早搏成对，室性早搏二、三联律，房性早搏二、三联律，短阵室上速方面的检出率均显著高于常规心电图(36.00% vs 4.00%，38.00% vs 6.00%，40.00% vs 16.00%，44.00% vs 12.00%，32.00% vs 2.00%)，差异有统计学意义(χ2房性早搏成对=48.000，χ2室性早搏成对=44.7，χ2室性早搏二、三联律=21.429，χ2房性早搏二、三联律=38.095，χ2短阵室上速=47.838，P<0.05)。 结论 动态心电图在冠心病患者心律失常和心肌缺血诊断中具有较高的应用价值。
[关键词] 动态心电图；心律失常；心肌缺血；冠心病
[中图分类号] R540.4+1；r541.4；R541.7 [文献标识码] A [文章编号] 1674-0742(2019)02(b)-0173-03
Application Value of Dynamic Electrocardiogram in Arrhythmia and Myocardial Ischemia in Patients with Coronary Heart Disease
TANG Guang-jun， TANG Guang-mei
Shandong Taishan Sanatorium， Tai'an， Shandong Province， 271000 China
[Abstract] Objective To investigate the value of dynamic electrocardiogram in the diagnosis of arrhythmia and myocardial ischemia in patients with coronary heart disease. Methods A total of 150 patients with coronary heart disease who underwent treatment in our department from January 2016 to December 2017 were conveniently enrolled. All patients underwent routine electrocardiogram and dynamic electrocardiography. Combined with clinical diagnosis results， the detection of arrhythmia and myocardial ischemia in patients with coronary heart disease was compared between the two methods. Results The detection rate of myocardial ischemia and arrhythmia in patients with coronary heart disease by dynamic electrocardiogram [80.0% (120/150)， 82.7% (124/150)] was significantly higher than that of conventional electrocardiogram [52.0% (78/150)， 54.7% (82/150)]， the difference was statistically significant (χ2 myocardial ischemia 2 = 26.203， χ2arrhythmia 2 = 27.329， P<0.05). Dynamic electrocardiogram was paired in atrial premature beats， ventricular premature beats were paired， ventricular premature beats were second and third， and atrial premature beats were second and third. The detection rate of short-term chambers was significantly higher than that of conventional electrocardiogram (36.00% Vs 4.00%， 38.00% vs 6.00%， 40.00% vs 16.00%， 44.00% vs 12.00%， 32.00% vs 2.00%)， the difference was statistically significant (χ2 atrial premature beats paired = 48.000， χ2 ventricular premature beats = 44.7， χ2 ventricular premature beats second， third joint law = 21.429，χ2 atrial premature beats second， third joint law = 38.095， χ2 short ventricular upper speed = 47.838， P<0.05). Conclusion Dynamic electrocardiography has a high value in the diagnosis of arrhythmia and myocardial ischemia in patients with coronary heart disease., 百拇医药(唐光军 唐光美)
[关键词] 动态心电图；心律失常；心肌缺血；冠心病
[中图分类号] R540.4+1；r541.4；R541.7 [文献标识码] A [文章编号] 1674-0742(2019)02(b)-0173-03
Application Value of Dynamic Electrocardiogram in Arrhythmia and Myocardial Ischemia in Patients with Coronary Heart Disease
TANG Guang-jun， TANG Guang-mei
Shandong Taishan Sanatorium， Tai'an， Shandong Province， 271000 China
[Abstract] Objective To investigate the value of dynamic electrocardiogram in the diagnosis of arrhythmia and myocardial ischemia in patients with coronary heart disease. Methods A total of 150 patients with coronary heart disease who underwent treatment in our department from January 2016 to December 2017 were conveniently enrolled. All patients underwent routine electrocardiogram and dynamic electrocardiography. Combined with clinical diagnosis results， the detection of arrhythmia and myocardial ischemia in patients with coronary heart disease was compared between the two methods. Results The detection rate of myocardial ischemia and arrhythmia in patients with coronary heart disease by dynamic electrocardiogram [80.0% (120/150)， 82.7% (124/150)] was significantly higher than that of conventional electrocardiogram [52.0% (78/150)， 54.7% (82/150)]， the difference was statistically significant (χ2 myocardial ischemia 2 = 26.203， χ2arrhythmia 2 = 27.329， P<0.05). Dynamic electrocardiogram was paired in atrial premature beats， ventricular premature beats were paired， ventricular premature beats were second and third， and atrial premature beats were second and third. The detection rate of short-term chambers was significantly higher than that of conventional electrocardiogram (36.00% Vs 4.00%， 38.00% vs 6.00%， 40.00% vs 16.00%， 44.00% vs 12.00%， 32.00% vs 2.00%)， the difference was statistically significant (χ2 atrial premature beats paired = 48.000， χ2 ventricular premature beats = 44.7， χ2 ventricular premature beats second， third joint law = 21.429，χ2 atrial premature beats second， third joint law = 38.095， χ2 short ventricular upper speed = 47.838， P<0.05). Conclusion Dynamic electrocardiography has a high value in the diagnosis of arrhythmia and myocardial ischemia in patients with coronary heart disease., 百拇医药(唐光军 唐光美)