动态心电图诊断冠状动脉病变的临床效果价值

目的研究动态心电图对临床上诊断冠状动脉病变的临床效果价值。方法对苏州市吴江区第一人民医院收治的60例冠状动脉病变患者选择性的进行冠状动脉造影检查及24 h十二导联动态心电图检查,并通过对比分析法对比60例患者进行冠状动脉造影检查结果和24 h十二导联动态心电图检查结果之间的差异及两种检查的危险度。结果 24 h动态心电图监测对冠心病患者的血管病变危险度检出率为:高危险度检出率为26.67%;中危险度检出率为25.00%;低危险度检出率为13.33%。冠状动脉造影检查对冠心病患者的血管危险度检出率为:高危险度检出率为16.67%;中危险度检出率为33.33%;低危险度检出率23.33%,两者在低、中危及高危血管病变的检出方面差异均有意义(P<0.05)。结论 24 h十二导联动态心电图对于诊断冠状动脉病变有较好的临床应用价值,是一种无创性的心血管疾病的诊断手段。

Objective To study the value of dynamic electrocardiogram in clinical diagnosis of coronary artery disease. Methods 60 cases of coronary artery disease were treated with selective coronary artery angiography,24 h twelve lead Holter, and risk degree of difference were compared between the results of coronary angiography and 24 h twelve lead dynamic electrocardiogram examination results and two kinds of inspection through comparative analysis. Results 24 h Holter monitoring in patients with coronary artery disease detection rate risk： High risk detection rate of 26.67~/＇0; risk was detected in 25.00%; low risk of detection rate of 13.33%. Coronary angiography for coronary artery disease in patients with vascular risk detection rate： High risk detection rate 16.67%; risk was detected in 33.33%; low risk detection rate of 23.33%, both in the low-, in the detection of vascular disease risk threatening aspect of the differences were meaningful （P〈0.05）. Conclusion 24 h twelve lead Holter has better clinical application value in the diagnosis of coronary artery disease, diagnosis means is a noninvasive cardiovascular disease.