动态心电图对病态窦房结综合征诊断价值探讨  

Value of Dynamic Electrocardiographic Recordings in the Diagnosis of Sick Sinus Syndrome

作　　者：熊艳霞[1] 王承玺[1] 芦鹤卿[1] 王丽霞[1] 

机构地区：[1]新乡市中心医院功能检查科,河南新乡453000

出　　处：《洛阳医专学报》2001年第1期25-26,共2页Journal of Luoyang Medical College

摘　　要：目的　探讨动态心电图对病态窦房结综合征的诊断价值。方法　选用经临床心脏电生理检查证实的 5 4例病态窦房结综合征患者进行 2 4h动态心电图检查 ,并选 5 0例正常人进行对照。结果　病态窦房结综合征组心率明显慢于正常对照组 ,两者具有显著差异 ,P <0 .0 0 1。病态窦房结综合征组心律失常检出率明显高于对照组。结论　动态心电图对间歇性心率和心律改变的病态窦房结综合征患者 ,能明显提高心律失常的检出率 ,是早期诊断病态窦房结综合征的最可靠方法。Objective To explore the diagnostic value of dynamic electrocardiographic recordings in sick sinus syndrome. Methods 54 patients with sick sinus syndrome(SSS), confirmed by clinical cardiac electro physiological examination were selected to receive the 24h dynamic ECG recordings examination and 50 normal adults were selected as control. Results The heart rate of patients with SSS was evidently slower than that of normal group and there was a significant difference between the two groups ( P <0.001).The detectable rate of arrhythmia in patients with SSS was also evidently higher than that of normal group. Conclusion The authors believed that dynamic electocardiographic recording examination was suitable for SSS patients who had interrupted heart rate and changes of rhythm of heart; dynamic electocardiographic recordings could enhance the detectable rate of arrhythmia in SSS patients and find the correlation; Dynamic electocardiographic recordings are a reliable method for the early diagnosis of SSS.

关 键 词：动态心电图 病态窦房结综合征 诊断 心律失常 

分 类 号：R541.740.4[医药卫生—心血管疾病]