83例起搏器患者动态心电图检查结果分析  

Results of dynamic electrocardiogram in 83 patients with pacemakers

作　　者：李育红[1] 李洁[1] 齐书英[1] 梅静[1] 

机构地区：[1]白求恩国际和平医院心内科,石家庄050082

出　　处：《中国循证心血管医学杂志》2010年第2期98-100,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的探讨动态心电图(DCG)在置入人工心脏起搏器后随访的意义。方法采用24h动态心电图对83例置入心脏心脏起搏器患者进行分析,并与常规心电图进行比较,判断起搏器起搏、感知状况及与起搏器相关的心律失常,分析起搏器与自身心律相互作用的心电图改变。结果 DCG检测出起搏器功能障碍14例,检出率为16.9%,常规心电图检出起搏器功能障碍4例,检出率为4.8%,两者检出率差异有显著统计学意义(P<0.01)。DCG检出与起搏器无关自身心律失常55例,与起搏器相关性心律失常5例,发现伪融合波15例。结论 DCG起搏器功能障碍检出率高,可为起搏器置入后临床随访提供准确依据。Objective To investigate the meaning of dynamic electrocardiogram （DCG） in follow-up survey after the insertion of pacemaker. Methods The patients （ n = 83 ） with pacemakers were analysed by using 24-hour DCG and compared with conventional ECG. The pacemaking and perception of pacemaker, and arrhythmia related to pacemaker were decided. The ECC changes of interactions between pacemaker and autorhythm was analysed. Results The disorder of pacemaker was detected by DCG in 14 cases （ 16.9% ） and by ECG in 4 （4.8%）. The detectable rate had significant and statistical difference （P 〈 0.01 ）. The independent arrhythmia was detected in 55 cases,pacemakerrelated arrhythmia in 5,and pseudofusion in 15 by DCG. Conclusion The detectable rate of disorder of pacemaker is higher by DCG,which can be taken as the base for clinical follow-up survey after the insertion of pacemaker.

关 键 词：心电描记术 便携式 心脏起搏器 人工 心律失常 心性 出院后医疗 

分 类 号：R540.41[医药卫生—心血管疾病]