24 h动态心电图诊断冠心病心律失常的临床价值  

Clinical Value of 24 h Holter Electrocardiogram in Diagnosing Arrhythmia in Coronary Heart Disease

作　　者：严湘秀 龙湘鹏 YAN Xiangxiu;LONG Xiangpeng(Department of Electrophysiology,Xiangtan Central Hospital,Xiangtan,Hunan Province,411100 China)

机构地区：[1]湘潭市中心医院心电生理科,湖南湘潭411100

出　　处：《世界复合医学》2024年第2期103-106,共4页World Journal of Complex Medicine

摘　　要：目的探讨冠状动脉粥样硬化性心脏病(简称冠心病)心律失常患者接受24 h动态心电图诊断的临床价值。方法简单随机选取2020年5月—2022年12月湘潭市中心医院心电生理科就诊的30例疑似冠心病患者作为研究对象,所有患者均接受24 h动态心电图与常规心电图检查,以最终临床诊断为金标准,比较两种检查方法的诊断效能、心脏节律诊断符合率。结果24 h动态心电图的灵敏度(100.00%)、准确度(100.00%)、漏诊率(100.00%)均优于常规心电图(86.66%、86.66%、13.33%),差异有统计学意义(P均<0.05)。24 h动态心电图诊断室性心律失常、房室性传导阻滞、短阵室上性心动过速筛查率高于常规心电图,差异有统计学意义(P均<0.05)。结论冠心病心律失常患者诊断中应用24 h动态心电图更加精准,诊断符合率更高,对心律失常的诊断效能优势明显。Objective To investigate the clinical value of 24 h holter electrocardiogram in the diagnosis of arrhythmia in patients with coronary atherosclerotic heart disease(coronary heart disease).Methods A total of 30 patients with suspected coronary heart disease who were treated in the Department of Cardioelectrophysiology of Xiangtan Central Hospital from May 2020 to December 2022 were simply randomly selected as the study subjects.All of them received 24 h holter electrocardiogram(dynamic data group)and routine electrocardiogram(routine data group)examination,and the final clinical diagnosis was the gold standard.The diagnostic efficiency and the diagnosis coincidence rate of heart rhythm of the two examination methods were compared.Re⁃sults The sensitivity(100.00%),accuracy(100.00%),and missed diagnosis rate(100.00%)of the dynamic data group were all superior to 86.66%,86.66%,and 13.33%of the conventional data group,and the differences were statistically significant(all P<0.05).The screening rate of ventricular arrhythmia,atrioventricular block,and short paroxysmal supraventricular tachycardia in the dynamic data group were higher than those in the conventional data group,and the differences were statistically significant(all P<0.05).Conclusion The application of 24 h holter electrocardiogram in the diagnosis of patients with coronary heart disease arrhythmia was more accurate,the diagnosis coincidence rate was high,and the diagnostic efficiency was obvious.

关 键 词：冠心病心律失常 24 h动态心电图 综合检出结果 诊断效能 心律失常 

分 类 号：R541[医药卫生—心血管疾病]