动态心电图在冠心病诊断中的价值——附337例分析  

The diagnostic value of dynamic electrocardiography in coronary heart disease——appendix 337 cases of analysis

作　　者：龙作湘[1] 

机构地区：[1]广东省惠州市中心人民医院,516001

出　　处：《实用心电学杂志》2010年第4期271-273,共3页Journal of Practical Electrocardiology

摘　　要：目的探讨动态心电图(DCG)在冠心病诊断中的价值。方法对337例经临床标准确诊的冠心病住院者进行DCG分析。结果 337例冠心病者检测出289例有缺血型ST段改变。敏感率为85.8%。其中有症状心肌缺血检出率为27.7%(80/289),无症状心肌缺血(SMI)检出率为72.3%(209/289)。结论 DCG监测冠状动脉缺血诊断冠心病的敏感性较高,有一定的临床应用价值。Objective To study the diagnostic value of Dynamic Electrocardiography （DCG） in coronary heart disease.Methods Making a analysis of DCG result on 337 cases hospitalized patients with coronary heart disease diagnosed by clinical criteria.Results 289 cases among 337 cases had ischemic ST segment changes and the sensitivity rate was 85.8%,with detection rate of symptoms of myocardial ischemia being 27.7%（80/289）,and detection rate of silent myocardial ischemia,72.3%（209/289）.Conclusion DCG monitoring has high sensitivity to diagnosis of coronary heart disease.

关 键 词：动态心电图 冠心病 诊断 

分 类 号：R540.41[医药卫生—心血管疾病] R541.4[医药卫生—内科学]