176例冠状动脉造影阳性患者动态心电图比较分析  

The comparative analysis of Holter monitoring in 176 patients with positive coronary angiography

作　　者：王砚青[1] 赵艳芳[1] 徐建新[1] 刘平[1] 杨洋[1] 

机构地区：[1]解放军第81医院心血管内科,江苏南京210002

出　　处：《现代医学》2012年第2期202-204,共3页Modern Medical Journal

摘　　要：目的:评价动态心电图对冠心病的诊断价值。方法:选择176例冠状动脉造影阳性的患者,回顾分析其动态心电图心肌缺血的变化。结果:176例患者中动态心电图检查心肌缺血阳性率为75.6%,其中3支、双支、单支病变阳性率分别为90.2%、73.7%和68.4%;动态心电图ST段压低幅度、持续时间、出现阵次随冠脉狭窄支数增多、程度增强而显著增加。结论:动态心电图是理想的筛查冠心病的无创伤性检查技术,特别是对双支及以上病变的冠心病患者。Objective： To evaluate the clinical value of Holter monitoring in the diagnosis of coronary heart disease（CHD）.Methods： The dynamic aspect of myocardial ischemia was retrospectively analyzed by Holter monitoring in 176 patients with masculine positive coronary angiography.Results： Of all the 176 patients,75.6% presented with myocardial ischemia when evaluated by the Holter monitoring.Among the patients with triple-vessel,double-vessel and single-vessel CHD,the rate of positive Holter monitoring was 90.2%,73.7% and 68.4% respectively.The degree,duration and frequency of ST-segment depression in Holter monitoring was positive related with the amount and severity of stenosed coronary vessels.Conclusion： Holter monitoring is a perfect ideal non-invasive diagnostic method for CHD,especially for the CHD patients with double-vessel or triple-vessel disease.

关 键 词：动态心电图 冠状动脉造影 冠心病 

分 类 号：R543.3[医药卫生—心血管疾病] R540.41[医药卫生—内科学]