50例胸闷儿童Holter心电图监测与病因分析

A Clinical Analysis of Dynamic Electrocardiogram in Fifty Children with Feeling of Oppres- sion in the Chest

朱文应用24小时DCG(Holter)监测,且结合心脏彩超、X线及脑彩超等检查,对50例胸闷儿童之病因进行综合分析,88％属心原性,其中以病毒性心肌炎居多,占50％,其余依次为疑似病毒性心肌炎18％,单纯频发早搏10％,心脏解剖异常8％与传导异常2％。12％为非心原性,其中2％属脑原性,余10％考虑与迷走神经紧张不稳定有关。50例胸闷EKG、DCG明显心律失常检出率分别为12％、52％。可见DCG检查能进一步提供较为精确的心律失常的客观指标。

Dynamic Electrocardiogram (DCG) data were analyzed in fifty children with feeling of oppression in the chest. The results showed that 88% cases were cardiogenic causes,including 50% viral myocarditis,18% borderline viral myocarditis, 10% tachyarrhythmias and 10% abnormal conduction and conformation in the heart. 12% cases were not cardiogenic causes,including 10% vagotoma and 2% vasospasm in the brain. Arrhythmias rates in 50 children with feeling of oppression in the chest were 12% inEKG and 52% in-DCG. The results suggest that DCG is better diagnosis method for arrhythmia in children.