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冠心病心律失常的动态心电图与常规心电图应用对比评价

杨毅波 何英泉 杨继超

中国医药科学Issue(2):23-25,39,4.
中国医药科学Issue(2):23-25,39,4.

冠心病心律失常的动态心电图与常规心电图应用对比评价

Comparative study on the diagnostic value of dynamic and conventional electrocardiogram in arrhythmia due to coronary heart disease

杨毅波 1何英泉 2杨继超1

作者信息

  • 1. 首都医科大学附属北京朝阳医院 西区 心电图室,北京100040
  • 2. 中国铁建第十七局集团中心医院心血管科,山西太原 030006
  • 折叠

摘要

Abstract

Objective To compare the application of dynamic and conventional electrocardiogram in diagnose of arrhythmia due to coronary heart disease.Methods 65 cases with coronary heart disease diagnosed by our hospital from August 2013 to January 2014 were selected. Their ages were (51.3±17.5)year-old, which were during the ages of 33 to 69 year-old. And they were composed of 36 males and 29 females. And their course of disease were(101.9±24.1)months, which were between 1 month and 21 years. The medications were stopped in patients for three days before into study. Regular ECG was taken first, and dynamic ECG was taken for 24h later. The numbers of myocardial ischemia, the arrhythmia occurrence such as superventricular premature beat, ventricular bigeminy or trigeminy, ventricular premature beat in pairs, atrial premature and atrial premature beat in pairs and the acceptance of patients were observed.ResultsIn these 65 patients, positive rate of myocardial ischemia between two examinations were not significantly different(P>0.05). Positive rate of ventricular bigeminy or trigeminy, ventricular premature beat in pairs, premature atrial premature beats, atrial bigeminy or trigeminy, atrial premature beat in pairs, nonsustained supraventricular tachycardia between two examinations were significantly different, with statistical significance (P<0.05). After examination, acceptances rate of patients to the two examinations were significantly different(P<0.05). Conclusion Dynamic electrocardiogram has a high level sensitivity in diagnose of arrhythmia due to coronary heart disease and accepted by the majority of patients, which is worthy of clinical promotion.

关键词

冠心病/心律失常/动态心电图

Key words

Coronary heart disease/Arrhythmia/Dynamic electrocardiogram

分类

医药卫生

引用本文复制引用

杨毅波,何英泉,杨继超..冠心病心律失常的动态心电图与常规心电图应用对比评价[J].中国医药科学,2015,(2):23-25,39,4.

中国医药科学

2095-0616

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