12导联动态心电图与常规心电图诊断老年冠心病患者无症状心肌缺血及心律失常的价值比较  

Application value of 12-lead ambulatory electrocardiogram and routine electrocardiogram in the diagnosis of asymptomatic myocardial ischemia and arrhythmia in elderly patients with coronary heart disease

作　　者：杜新超[1] 张亚梦 顾小霞 Du Xinchao;Zhang Yameng;Gu Xiaoxia(Department of Cardiopulmonary Function,Zhengzhou Central Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市中心医院心肺功能科,郑州450000

出　　处：《中国实用医刊》2024年第18期71-73,共3页Chinese Journal of Practical Medicine

摘　　要：目的比较12导联动态心电图(AECG)与常规心电图(RECG)诊断老年冠心病(CHD)患者无症状心肌缺血及心律失常的价值。方法回顾性抽取2020年5月至2023年4月郑州市中心医院收治的老年CHD患者76例,均进行12导联AECG与RECG检查,统计12导联AECG与RECG诊断无症状心肌缺血、心律失常的检出率。结果12导联AECG对心肌缺血和无症状心肌缺血的检出率(81.58%,62/76;52.63%,40/76)高于RECG(57.89%,44/76;25.00%,19/76),P<0.05;12导联AECG对室性心律失常的期前收缩二、三联律及成对期前收缩的检出率(47.37%,36/76;44.74%,34/76)高于RECG(22.37%,17/76,21.05%,16/76),P<0.05;12导联AECG对房性心律失常的期前收缩二、三联律及成对期前收缩的检出率(46.05%,35/76;42.11%,32/76)高于RECG(26.23%,20/76;13.16%,10/76),P<0.05。结论与RECG相比,12导联AECG应用于老年CHD患者中,可提高无症状心肌缺血和心律失常检出率,为临床确定疾病类型和制定治疗方案提供参考依据。Objective To study the application value of 12-lead ambulatory electrocardiogram(AECG)and routine electrocardiogram(RECG)in the diagnosis of asymptomatic myocardial ischemia and arrhythmia in elderly patients with coronary heart disease(CHD).Methods Seventy-six elderly CHD patients admitted to Zhengzhou Central Hospital from May 2020 to April 2023 were retrospectively selected,and they all underwent 12-lead AECG and RECG examinations.The detection rate of asymptomatic myocardial ischemia and arrhythmia by 12-lead AECG and RECG were analyzed.Results The detection rates of myocardial ischemia and asymptomatic myocardial ischemia diagnosed by 12-lead AECG(81.58%,62/76;52.63%,40/76)were higher than those diagnosed by RECG(57.89%,44/76;25.00%,19/76),P<0.05.The detection rates of premature contractions in bi-triple rhythm and paired premature contraction of ventricular arrhythmia diagnosed by 12-lead AECG(47.37%,36/76;44.74%,34/76)were higher than those diagnosed by RECG(22.37%,17/76;21.05%,16/76),P<0.05.The detection rates of premature contractions in bi-triple rhythm and paired premature contraction of ventricular arrhythmia diagnosed by 12-lead AECG(46.05%,35/76;42.11%,32/76)were higher than those diagnosed by RECG(26.23%,20/76;13.16%,10/76),P<0.05.Conclusions Compared with RECG,12-lead AECG can improve the detection rate of asymptomatic myocardial ischemia and arrhythmia in elderly CHD patients,and provide reference for identification of disease types and formulation of treatment protocol in clinical.

关 键 词：冠心病 心肌缺血 心律失常 12导联动态心电图 常规心电图 

分 类 号：R540.41[医药卫生—心血管疾病] R541.4[医药卫生—内科学]