动态心电图诊断冠心病的价值分析  

Value analysis of Holter in the diagnosis of coronary heart disease

作　　者：孟娟[1] 孙秀才[1] 施霞[1] 盛艳华[1] 曾辉[1] 

机构地区：[1]深圳市第三人民医院心血管内科,深圳518112

出　　处：《中国当代医药》2015年第16期50-52,共3页China Modern Medicine

基　　金：广东省深圳市科技计划项目(201303055)

摘　　要：目的：比较12导联动态心电图与冠状动脉造影对冠心病的诊断价值。方法选取2011年11月~2014年9月本院拟诊为冠心病的114例患者作为研究对象，给予24 h动态心电图检查，以冠状动脉造影为标准进行对比分析。结果114例患者中，冠状动脉造影检查阳性84例，阴性30例，阳性率73.7%；其中单支病变36例，双支病变26例，多支病变22例。动态心电图诊断阳性66例，阴性48例，阳性率为57.9%，敏感性为70.2%，特异性为76.7%，假阳性率为23.3%，假阴性率为29.8%。随着冠状动脉病变支数的增多，动态心电图诊断冠心病的阳性率亦增高，差异有统计学意义（P〈0.05）。结论动态心电图是目前开展的无创、安全、价廉的诊断冠心病方法之一，尤其对冠状动脉双支及多支病变的阳性检出率高，可作为冠心病诊断的初筛检查。Objective To compare the value of 12-lead Holter and coronary angiography in the diagnosing of coronary heart disease. Methods 114 patients with coronary heart disease of suspicion from November 2014 to September 2011 in our hospital were selected as the research object,and 24 hours Holter was given.A comparative analysis was per-formed on the basis of coronary angiography. Results Among the 114 patients,84 cases were positive for coronary an-giography,30 cases were negative,and the positive rate was 73.7%.Among them,36 cases were single vessel disease,26 cases with double branch lesion and 22 cases with multiple lesions.The diagnosis of Holter was positive in 66 cases, negative in 48 cases,positive rate was 57.9%,sensitivity was 70.2%,specificity was 76.7%,false positive rate was 23.3%, false negative rate was 29.8%.With the increased number of stenosed coronary vessels,the positive rate of Holter in the diagnosis of coronary heart disease was increased,with significant difference （P〈0.05）. Conclusion Holter is one of the non-invasive,safe and inexpensive methods in the diagnosis of the coronary heart disease,especially in double and mul-tiple branch disease,which can be used as a screening examination in the early diagnosis of coronary heart disease.

关 键 词：冠心病 动态心电图 冠状动脉造影术 诊断 

分 类 号：R541.4[医药卫生—心血管疾病]