以胸闷为主诉的房室传导阻滞患者动态心电图与冠脉造影检查结果对照分析  

Comparison analysis of dynamic ECG and coronary artery angiography based on chest tightness in patients with atrioventricular block

作　　者：施巍[1] 

机构地区：[1]商洛市中心医院心电科,陕西商洛726000

出　　处：《江苏实用心电学杂志》2012年第2期93-94,共2页Journal of Practical Electrocardiology JS

摘　　要：目的探讨动态心电图对缺血性心脏病的诊断价值。方法选择年龄为40岁以上自觉胸闷而收住入院的患者32例,经动态心电图检查均有房室传导阻滞。对其中28例再进行冠脉造影检查。结果 28例患者冠脉造影显示,12例(42.8%)患者右冠后降支堵塞70%,8例患者右冠后降支堵塞30%～50%,3例患者左冠回旋支堵塞50%,3例(11%)患者冠脉造影阴性。结论以胸闷为主诉的40岁以上的房室传导阻滞患者,大多有冠状动脉堵塞,应进一步进行冠脉造影检查以确诊。Objective To investigate the diagnose value of dynamic electrocardiogram （ECG） on ischemic heart disease. Methods Thirty-two cases aged more than 40 years old with chest tightness were chosen, and atrioventricular block were found after dynamic ECG checking. Twenty-eight cases a- mong them were examined by coronary artery angiography. Results Coronary artery angiography exami- nation of 28 patients showed that 12 cases （42.8%） with right coronary artery posterior descending artery clogging by 70% , 8 cases with right coronary artery posterior descending artery clogging by 30% to 50% , 3 cases with left circumflex coronary artery clogging by 50%, 3 cases with negative coronary artery angiography. Conclusion Coronary artery clogging can be mostly found in the patients with atrioventric- ular block aged more than 40 years old who were suffered from chest tightness. A coronary artery angiog- raphy examination should be taken for diagnosing.

关 键 词：动态心电图 房室传导阻滞 冠状动脉造影 

分 类 号：R540.41[医药卫生—心血管疾病]