动态心电图监测无症状性冠心病的诊断价值  

Diagnostic Value of Dynamic Electrocardiogram(ECG)in Monitoring Asymptomatic Coronary Heart Disease

作　　者：庞春福 PANG Chun-fu(Department of Cardiology,Donggang Second Hospital,Liaoning Donggang 118313)

机构地区：[1]东港市第二医院心血管内科,辽宁东港118313

出　　处：《中国医疗器械信息》2021年第18期161-161,185,共2页China Medical Device Information

摘　　要：目的:探究动态心电图监测在无症状性冠心病中的诊断价值。方法:在本院心内科2018年5月~2020年2月拟诊为冠心病的患者中选出132例为对象,均进行常规心电图检查和动态心电图监测,收集两种方法的诊断准确率等。结果:动态心电图对无症状性冠心病的诊断准确率78.79%高于常规心电图检查的诊断准确率60.61%,P<0.05;且动态心电图的诊断灵敏度78.0%高于常规心电图检查的诊断灵敏度56.0%,P<0.05;两种方法的诊断特异度(81.25%vs 75.0%)对比差异无统计学意义,P>0.05。结论:动态心电图监测有利于临床医师捕捉到无症状性冠心病患者的异常心电活动,早期确诊,尽早干预治疗。Objective:To explore the diagnostic value of ambulatory electrocardiogram monitoring in asymptomatic coronary heart disease.Methods:132 patients with coronary heart disease were selected from May 2018 to February 2020 in Cardiology Department of our hospital.All of them were examined by routine electrocardiogram and dynamic electrocardiogram,and the diagnostic accuracy of the two methods was collected.Results:The diagnostic accuracy rate of Holter for asymptomatic coronary heart disease was 78.79%higher than that of conventional electrocardiography,60.61%,P<0.05;and the diagnostic sensitivity of Holter was 78.0%higher than that of conventional electrocardiogram by 56.0%,P<0.05;There was no statistically significant difference in the diagnostic specificity of the two methods(81.25%vs 75.0%),P>0.05.Conclusion:Dynamic ECG monitoring is helpful for clinicians to capture abnormal ECG activity in patients with asymptomatic coronary heart disease,early diagnosis and early intervention treatment,which is worth popularizing.

关 键 词：动态心电图监测 常规心电图 无症状性冠心病 诊断价值 

分 类 号：R540.4[医药卫生—心血管疾病]