动态心电图诊断冠心病伴心律失常的临床价值分析  

Clinical value of Holter monitor in diagnosis of coronary heart disease with arrhythmia

作　　者：王莹 WANG Ying(Shandong First Rongjun Youfu Hospital,Jinan 250000,China)

机构地区：[1]山东省第一荣军优抚医院,250000

出　　处：《中国实用医药》2024年第20期79-81,共3页China Practical Medicine

摘　　要：目的分析动态心电图诊断冠心病伴心律失常的临床价值。方法68例冠心病伴心律失常患者,随机分为对照组与动态组,各34例。对照组采用常规心电图检查,动态组采用动态心电图检查。对比两组的心律失常检出率。结果动态组检出房室传导阻滞13例、短阵室上速3例、房性早搏成对4例、室性早搏早发3例、房性早搏早发5例、室性早搏二/三联律3例、房性早搏二/三联律2例;对照组组检出房室传导阻滞9例、短阵室上速2例、房性早搏成对4例、室性早搏早发3例、房性早搏早发4例、室性早搏二/三联律2例、房性早搏二/三联律3例。动态组的心律失常检出率97.06%(33/34)高于对照组的79.41%(27/34),差异明显(P<0.05)。结论心律失常是冠心病的常见并发症,在冠心病伴心律失常的诊断中,应尽早采取诊断措施,利用动态心电图能够获得更高的诊断准确度,对患者的预后有着积极的意义,值得在临床中广泛应用。Objective To analyze the clinical value of Holter in diagnosis of coronary heart disease with arrhythmia.Methods 68 patients with coronary heart disease and arrhythmia were divided into a control group and a dynamic group,with 34 patients in each group.The control group was diagnosed with routine electrocardiogram,and the dynamic group was diagnosed with Holter monitor.The detection rates of arrhythmia was compared between the two groups.Results In the dynamic group,there were 13 cases of atrioventricular block,3 cases of short-lasting paroxysmal ventricular tachycardia,4 cases of paired atrial premature beats,3 cases of premature ventricular beats with early onset,5 cases of premature atrial beats with early offset,3 cases of premature ventricular beats in bigeminy/trigeminy,and 2 cases of premature atrial beats in bigeminy/trigeminy.In the control group,there were 9 cases of atrioventricular block,2 cases of short-lasting paroxysmal ventricular tachycardia,4 cases of paired premature ventricular beats,3 cases of premature ventricular beats with early onset,4 cases of premature atrial beats with early onset,2 cases of premature ventricular beats in bigeminy/trigeminy,and 3 cases of premature atrial beats in bigeminy/trigeminy.The detection rate of arrhythmia in dynamic group was 97.06%(33/34),which was higher than 79.41%(27/34)in control group,and the difference was significant(P<0.05).Conclusion Arrhythmia is a common complication of coronary heart disease.In the diagnosis of coronary heart disease with arrhythmia,diagnostic measures should be taken as soon as possible.Holter monitor can obtain higher diagnostic accuracy,which has positive significance for the prognosis of patients,and is worthy of wide application in clinical practice.

关 键 词：动态心电图 常规心电图 冠心病 心律失常 诊断效果 

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