电话传输心电图对老年冠心病患者无症状性心肌缺血的应用  

Utility of Transtelephonic Monitoring on Silent Myocardial Ischemia in Aged Patients with Coronary Heart Disease.

作　　者：寿晓玲[1] 徐耕[1] 任爱华[2] 

机构地区：[1]浙江大学医学院附属第二医院心内科,浙江杭州310009 [2]浙江医院心脏康复科,浙江杭州310013

出　　处：《心脑血管病防治》2008年第2期81-82,共2页CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT

摘　　要：目的探讨电话传输心电图（TTM）对老年冠心病患者无症状性心肌缺血（sⅧ）的应用价值。方法选取200例老年冠心病患者，在1周内无症状时分别予24-48小时TTM监测和24小时动态心电图（DOG）检查，比较两者SMI和心律失常的检出率。结果SMI检出率TTM（69．50％）较DOG（44．00％）高，两者有显著性差异（P〈0．05），房性期前收缩、室性期前收缩和缓慢性心律失常检出率两者无明显差异（P〉0．05），快速性心律失常检出率TTM（15．50％）较DCG（9．0％）高，有显著性差异（P〈0．05）。结论TTM能及时发现老年冠心病患者SMI以及短暂、无规律的心律失常等心电变化，有重要的临床意义。Objective To study the utility of transtelephonic monitoring on silent myocardial ischemia （SMI） in aged patients with coronary heart disease. Methods Transtelephonic monitoring（TTM） was performed for 24 - 48 hours in 200 aged silent myocardial ischemia（SMI） patients who was asymptomaticin in one week, at the same time, dynamic electrocardiographic （DCG） monitoring was performed for24-hour in the same patients to observe SMI and arrhythmisa incidence. Results The incidence of SMI was much higher by TTM （69.50%） than by DCG （44.00%, P 〈 0.05）. There was no statistic difference in the incidence of atrial premature beat, ventricle premature beat and slow arrhythmia between two ways（ P 〉 0.05）. The incidence of tachyarhythmia by TTM（ 15.50% ） was much higher than by DCG （9.00%, P 〈 0.05）. Conclusions Compare with DCG, TTM can discover SMI and transient, irregular arrhythmisa in time, so it has important clinical meaning.

关 键 词：电话传输心电图 老年冠心病 无症状性心肌缺血 

分 类 号：R541.4[医药卫生—心血管疾病] R540.4[医药卫生—内科学]