摘要
目的:探讨阵发性胸痛患者的24小时动态心电图变化情况。方法:对65例阵发性胸痛患者进行24小时心电图连续监测,并详细记录监测时间内的生活及活动情况。结果:65例患者休息、活动时均有ST段压低,但以活动时发作较多,ST段压低时快频依赖者占64.6%,发生心律失常占70.8%,其中室上性早搏和室性早搏占92.6%。结论:动态心电图是诊断短暂或持续心肌缺血的可靠指征。
Objective: To analyze the ECG deviations according to 24-hour Holter monitoring of patients with paroxysmal chest pain. Methods: 24-hour Holter monitoring was examined in 65 patients with paroxysmal chest pain, meanwhile daily activities and exercises were also recorded. Results: ST segment depressions were presented in all cases no matter the patient was at quiet state or motion state, more frequently under the latter circumstance. 64.6% patients had coexistence of ST segment depression and tachycardia. Arrhythmia was presented in 70.8% cases, of which 92.6% were supraventricular premature beats and ventricular premature beats. Conclu- sion: Holter is a reliable method for diagnosing both transient and continuous myocardial ischemia.
出处
《海南医学院学报》
CAS
2009年第4期340-341,共2页
Journal of Hainan Medical University