川北医学院学报2023，Vol.38Issue(12)：1612-1615,4.DOI:10.3969/j.issn.1005-3697.2023.12.006
远程实时心电监测在预测急性心律失常患者心源性猝死中的价值
Value of remote real-time ECG monitor in predicting sudden cardiac death in patients with acute arrhythmia
摘要
Abstract
Objective:To evaluate the value of remote real-time ECG monitor in predicting Death during consensual sex(SCD)in patients with acute arrhythmia.Methods:327 patients with acute arrhythmia diagnosed were selected as the study subjects.All pa-tients were detected by remote real-time ECG monitor,24 h Holter monitor,and ordinary electrocardiogram,respectively.The detection rate of acute arrhythmia events,QRS,QT,and QTc values of the three detection methods were compared,and the accuracy of predicting SCD was estimated.Results:The detection rate of arrhythmia events in 24 h electrocardiogram and remote real-time electrocardiogram monitoring equipment was higher than that in conventional electrocardiogram,with statistical significance(P<0.05).After a3-month follow-up,the QRS and QTc values of patients in the SCD group were higher than those in the non SCD group using conventional elec-trocardiogram,24 h electrocardiogram,and remote real-time electrocardiogram monitoring.The QT values were lower than those in the non SCD group(P<0.05).There were statistically significant differences in QRS,QT,and QTc values among patients in the SCD group using three methods(P<0.05).Pairwise comparison between SCD groups showed that the QRS and QTc values of 24 h electro-cardiogram and remote real-time electrocardiogram monitoring were higher than those of conventional electrocardiogram,while the QT value was lower than that of conventional electrocardiogram.The QRS and QTc values of the remote real-time electrocardiogram monito-ring instrument were higher than those of the 24 h electrocardiogram,while the QT value was lower than that of the 24 h electrocardio-gram,with statistical significance(P<0.05).The positive coincidence rate of QRS,QT,QTc,and the combination of the three indica-tors detected by the remote real-time electrocardiogram monitor was higher than that of the 24 h electrocardiogram and conventional e-lectrocardiogram.The positive coincidence rate of QRS,QT,QTc,and the combination of the three indicators detected by the 24 h elec-trocardiogram was higher than that of the conventional electrocardiogram(P<0.05).Conclusion:Remote real-time electrocardiogram monitoring has high value in predicting the occurrence of SCD in patients with acute arrhythmia.关键词
急性心律失常/远程实时心电监测/心源性猝死/预测Key words
Acute arrhythmia/Remote real-time ECG monitor/Sudden cardiac death/Forecast分类
医药卫生引用本文复制引用
王露露,刘晓林,张琰琰..远程实时心电监测在预测急性心律失常患者心源性猝死中的价值[J].川北医学院学报,2023,38(12):1612-1615,4.基金项目
安徽省重点研究与开发计划项目(202104j07020075) （202104j07020075）
