动态与常规心电图在冠心病心律失常疾病诊断中的应用价值比较  

Application value of dynamic and routine electrocardiogram in the diagnosis of coronary heart disease with arrhythmia

作　　者：王其琼[1] 陈瑛[1] Wang Qiqiong;Chen Ying(Cardiovascular Medicine,the People's Hospital of Changji State,Xinjiang 831100)

机构地区：[1]新疆昌吉州人民医院心血管内科,831100

出　　处：《中国社区医师》2017年第19期118-118,120,共2页Chinese Community Doctors

摘　　要：目的:探讨动态与常规心电图在诊断冠心病(CHD)患者心律失常中的价值。方法:收治CHD患者120例,分别采用动态心电图与常规心电图检查,比较两组诊断结果。结果:在CHD诊断中,动态心电图诊断阳性率64.17%,常规心电图诊断阳性率60.00%(P>0.05)。在心律失常诊断上,动态心电图检测在短阵室上速、室性早搏及房性早搏二、三联律,室性早搏及房性早搏成对检出率均优于常规心电图(P<0.05)。结论:动态与常规心电图均可对CHD患者做出明显诊断,但对于合并有心律失常者应采用动态心电图进行诊断。Objective:To explore the application value of dynamic and routine electrocardiogram in the diagnosis of coronary heart disease(CHD)with arrhythmia.Methods:120patients with CHD were selected.They were given dynamic electrocardiogram and routine ECG examination.We compared the diagnostic results of the two groups.Results:In the diagnosis of CHD,the positive rate of dynamic electrocardiogram was64.17%,and the positive rate of ECG was60.00%(P>0.05).In the diagnosis of arrhythmia,the detection rates of dynamic electrocardiogram for supraventricular tachycardia,ventricular premature beat,atrial premature beat two,triple rhythm,ventricular premature beat and atrial premature beat twinning were better than conventional electrocardiogram(P<0.05).Conclusion:Patients with CHD can be diagnosed by dynamic and conventional ECG,but dynamic electrocardiogram should be used in the diagnosis of arrhythmia.

关 键 词：动态心电图 冠心病 常规心电图 心律失常 

分 类 号：R541.4[医药卫生—心血管疾病]