国际医药卫生导报2010,Vol.16Issue(21):2604-2606,3.DOI:10.3760/cma.j.issn.1007-1245.2010.21.011
动态心电图评价无症状性心肌缺血的价值
Value of dynamic electrocardiogram for assessing silent myocardial ischemia
摘要
Abstract
Objective To explore the value of dynamic electrocardiogram ( DCG ) for assessing silent myocardial ischemia ( SMI ). Methods 60 patients with coronary artery diseases in our hospital from January 2009 to January 2010 were detected by DCG and the findings were analyzed. Results 53 of the 60 patients ( 88.33% ) had ST-T segment alteration, with 155 episodes. 115 ( 74.19% ) episodes occurred in those with SMI and 40 ( 25.81% ) in symptomatic patients. 66 ( 57.39% ) episodes of ST-T alteration were associated with slight physical labor and brain activity and 49 ( 42.61% )episodes developed at rest. 42.61% of SMI occurred from 6:00 to 12:00 and 12.17% from 0:00 to 6:00, and there was a significant difference ( P<0.05 ). The degree of ST-T depression and duration of ischemia did not differ significantly between the patients with SMI and those with symptons ( P> 0.05 ). Conclusions It is of great significance to dynamic electrocardiogram in the asseseement of silent myocardial ischemia and the procedure is worth being used widely.关键词
无症状性心肌缺血/动态心电图/冠心病Key words
Silent myocardial ischemia/Dynamic electrocardiogram/Coronary artery disease分类
医药卫生引用本文复制引用
潘翠霞..动态心电图评价无症状性心肌缺血的价值[J].国际医药卫生导报,2010,16(21):2604-2606,3.