心源性晕厥临床诊断中应用动态心电图检查的意义分析

Significance of dynamic electrocardiogram in clinical diagnosis of cardiogenic syncope

目的:探讨心源性晕厥临床诊断中应用动态心电图检查的意义。方法:挑选130例于2018年1月至2019年12月入住我院的疑似心源性晕厥患者,为其依次开展常规的心电图检测与动态心电图检查,同时考察其动态心电图心律失常种类、心律失常检查率、动态心电图R-R间期状况进行观察。结果:无晕厥组窦性停搏发生率(16.67%)低于晕厥组(40.00%)(P<0.05);在房室传导阻滞、阵发性心房颤动/心房扑动、窦性停搏R-R间期方面,无晕厥组均短于晕厥组(P<0.05)。结论:在心源性晕厥临床诊断中应用动态心电图检查的效果十分突出,有助于提高诊断效率。

Objective:To explore the significance of dynamic electrocardiogram in clinical diagnosis of cardiogenic syncope.Methods:130 patients with suspected cardiogenic syncope admitted to our hospital from January 2018 to December 2019 were selected to carry out routine ECG examination and dynamic ECG examination in turn.Meanwhile,the types of arrhythmia,arrhythmia examination rate and R-R interval of dynamic ECG were observed.Results:the incidence of sinus arrest in the non syncope group(16.67%)was lower than that in the syncope group(40.00%)(P<0.05);in terms of atrioventricular block,paroxysmal atrial fibrillation/atrial flutter and R-R interval of sinus arrest,the non syncope group was shorter than that in the syncope group(P<0.05).Conclusion:in the clinical diagnosis of cardiogenic syncope,the effect of dynamic electrocardiogram examination is very prominent,which is helpful to improve the diagnosis efficiency.