24小时动态心电图监测对装起搏器患者的意义

目的探讨24小时动态心电图监测对安装起搏器患者的临床意义,以供参考。方法将2009年1月至2011年2月收治的70例植入起搏器的患者,分别给予常规心电图检测和24小时动态心电图监测,分析患者起搏功能,不同起搏方式发生感知功能异常情况及两种检测方法对患者感知异常和心律失常的检测率。结果 70例患者共发生心律失常22例(31.43%),感知异常32例(45.71%)。其中2例心律失常、1例感知异常为常规心电图中检测出,19例心律失常、31例感知异常在24小时动态心电图检测中得出。经统计学分析,P<0.05,差异有统计学意义。结论采用24小时动态心电图对患者的感知异常、心律失常等情况检出率较高,可发现常规心电图检查不能发现的问题,更具有临床意义。

Objective 24-hour Holter monitoring of pacemaker patients for clinical significance,for reference.Methods In our hospital from January 2009 to February 2011 were treated 70 cases of patients with implanted pacemakers,were given routine electrocardiogram and Holter testing,analysis,pacemaker function in patients with different pacing the way perception dysfunction situation and the two detection methods for abnormal perception of patients and arrhythmia detection rate.Results 70 patients were arrhythmia in 22 cases（31.43%） ,abnormal perception of 32 patients（45.71%） .2 cases of arrhythmia,1 case of perception for the ECG abnormalities detected,19 cases of arrhythmia,31 cases of perceived anomalies in the 24-hour ambulatory electrocardiogram derived.After statistical analysis,P 0.05,significant difference.Conclusion 24-hour Holter monitoring of the patient＇s perception of abnormalities,a higher detection rate of arrhythmias,etc.,can be found in conventional ECG can not find the problem,the more clinical significance.