植入式心脏监测器(ICM)在不明原因晕厥和心悸中的临床应用和研究进展  

Clinical Application and Research Progress of Implantable Heart Monitor (ICM) in Unexplained Syncope and Palpitations

作　　者：张雁飞 杨杰孚[1] 佟佳宾[1] 种甲[1] 刘俊鹏[1] 王志蕾[1] 金鑫[1] 邹彤[1] 

机构地区：[1]北京医院,国家老年医学中心,心内科,北京

出　　处：《临床医学进展》2019年第11期1266-1275,共10页Advances in Clinical Medicine

摘　　要：不明原因晕厥和心悸是心血管系统疾病诊疗中的难点,漏诊误诊率高,临床危害大。目前大多数患者很难通过心电图等常规检查确诊。研究显示,45%~80%的不明原因晕厥可能为心源性晕厥,同时,很多偶发心悸的心律失常患者很难确诊。因此,研究有效的技术手段以提高其诊断率意义重大。近年来,随着植入性心电监测仪(ICM)技术的升级以及相关研究结果的发表,证实其可以显著提高不明原因晕厥和心悸的诊断率。本文对植入式心脏监测器(ICM)在晕厥和心悸中的应用和发展进行概述。Unexplained syncope and palpitation are the difficulties in the diagnosis and treatment of cardiovascular diseases. The rate of missed diagnosis and misdiagnosis is high, which leads to great clinical harm. At present, most patients are difficult to be diagnosed by routine examinations such as electrocardiogram. Studies have shown that 45% to 80% of unexplained syncope may be cardiogenic syncope, and many arrhythmias with occasional palpitations are difficult to diagnose. Therefore, the study of effective technical means to improve its diagnostic rate is of great significance. In recent years, with the development of implantable ECG monitor (ICM) technology and the publication of relevant research results, it has been proved that it can significantly improve the diagnostic rate of syncope and palpitations of unknown causes. This article reviews the application and development of implantable heart monitor (ICM) in syncope and palpitations.

关 键 词：植入式心脏监测器 不明原因晕厥 心悸 ICM 

分 类 号：R54[医药卫生—心血管疾病]