227例精神科心肌缺血患者动态心电监测分析

Analysis on 227 cases of psychiatric patients with myocardial ischemia Holter monitoring

目的探讨精神科心肌缺血患者动态心电监测的临床意义。方法以笔者所在医院2008年1月～2010年12月经静态心电图检查显示ST段压低的精神科患者227例为研究对象,行24h动态心电监测,统计分析监测结果。结果本组227例,确诊心肌缺血104例,占45.8%;其中确定冠心病诊断26例,占25.0%;假阳性123例,占54.2%;104例心肌缺血患者中合并各种心律失常65例,占62.5%;123例假阳性患者中各种心律失常31例,占25.2%。两组比较差异有统计学意义(P<0.01)。结论精神科心肌缺血患者静态心电图检查假阳性率较高,动态心电监测可起到十分有效的鉴别作用。

Objective To investigate the clinical significance of psychiatric myocardial ischemia in patients with Hoher monitoring. Methods Analyzed the 24-hour Hoher monitoring result of 227 cases patients that showed the ST segment depression with static ECG. Results There were 104 cases diagnosis of myocardial ischemia,accounting for 45.8%,which the diagnosis of the coronary heart disease to 26 cases,accounting for 25%,123 cases were false-positive,accounting for 54.2% in the 227 cases,65 cases of patients combined a variety of rhythm disorders in 104 cases myocardial ischemia patients,accounting for 62.5%,and 31 eases combined a variety of rhythm disorders in 123 cases false-positive patients,accounting for 25.2%,there is significant differences in the two groups（P 〈 0.01）. Conclusion Psychiatric combined myocardial ischemia patients have the higher false positive rate by resting electrocardiogram test,Hoher monitoring can play very effective role in the identification.