动态心电图长时程监测在急性心肌梗死患者伴发心律失常中的诊断价值  

Diagnostic Value of Dynamic Electrocardiogram Long-Term Monitoring in Patients with Acute Myocardial Infarction and Coronary Heart Disease with Arrhythmia

作　　者：崔海玲[1] 冯晶[1] CUI Hailing;FENG Jing(Department of Function,Yan'an People's Hospital,Yan'an Shaanxi 716000)

机构地区：[1]延安市人民医院功能科,陕西延安716000

出　　处：《医学临床研究》2023年第10期1526-1528,1532,共4页Journal of Clinical Research

摘　　要：【目的】探讨动态心电图长时程监测在急性心肌梗死患者伴发心律失常中的诊断价值。【方法】回顾性分析2020年2月至2022年3月本院收治的89例急性心肌梗死患者的临床资料,所有患者均先接受24 h动态心电图监测后采用动态心电图长时程监测。比较两种监测方式的心律失常检出率、室性心律失常检出情况、房性心律失常检出情况及舒适状况量表(GCQ)评分,统计患者首次被记录的无症状与有症状心律失常的平均时间。【结果】心内电生理检查结果显示,89例急性心肌梗死患者中心律失常79例,其中室性心律失常18例、房性传导阻滞5例、房性心律失常38例、窦性心律失常10例、交界性心律失常8例。动态心电图长时程监测对心律失常的检出率高于24 h动态心电图监测(P<0.05)。两种监测方式对不同类型室性期前收缩检出率比较,差异无统计学意义(P>0.05)。两种监测方式对房性心律失常总体检出率比较,差异无统计学意义(P>0.05);动态心电图长时程监测对房早多发、房早偶发的检出率高于24 h动态心电图,差异有统计学意义(P<0.05)。患者首次记录的无症状心律失常的平均时间为(6.25±1.23)d,患者首次记录到的有症状心律失常的平均时间为(3.12±1.07)d;动态心电图长时程监测GCQ评分高于24 h动态心电图监测的评分(P<0.05)。【结论】动态心电图长时程监测对急性心肌梗死伴发心律失常具有良好的诊断价值,且其电极贴片具有较高的舒适度。【Objective】To investigate the diagnostic value of dynamic electrocardiogram long-term monitoring in patients with acute myocardial infarction and coronary heart disease with arrhythmia.【Methods】A retrospective analysis of the clinical data of 89 patients with acute myocardial infarction and coronary heart disease with arrhythmia who visited the hospital from February 2020 to March 2022 was studied.All patients first received 24-hour dynamic electrocardiogram monitoring and then adopted long-term dynamic electrocardiogram monitoring.The detection rate of arrhythmia,the detection of ventricular arrhythmia,the detection of atrial arrhythmia and the comfort status scale(GCQ)were compared between the two monitoring methods.The mean time between patients'first recorded asymptomatic and symptomatic arrhythmias was counted.【Results】Intracardiac electrophysiological examination results showed that 79 of 89 patients with acute myocardial infarction and coronary heart disease had arrhythmia,including 18 cases of ventricular arrhythmia,5 cases of atrial block,38 cases of atrial arrhythmia,10 cases of sinus arrhythmia,and 8 cases of junctional arrhythmia.The detection rate of arrhythmia in long-term monitoring of holter monitoring was higher than that of Holter monitoring within 24 hours(P<0.05).There was no difference in the detection rate of different types of premature ventricular contractions between the two monitoring methods(P>0.05).There was no difference in the detection rate of different types of atrial arrhythmias between the two monitoring methods(P>0.05).The detection rate of long-term monitoring of atrial arrhythmia was higher than that of 24-hour atrial arrhythmia monitoring(P<0.05).The mean time for patients to first record asymptomatic arrhythmias was 6.25 days,and the mean time for patients to first record symptomatic arrhythmias was 3.12 days.The GCQ score of long-term monitoring of Holter monitoring was higher than that of Holter monitoring of 24 hours(P<0.05).【Conclusion】Dynamic electrocard

关 键 词：心肌梗死/并发症 急性病 心律失常 心性 心电描记术 便携式 

分 类 号：R542.22[医药卫生—心血管疾病]