24h动态心电图对诊断心源性晕厥的临床意义

The clinical significance of 24 hour dynamic electrocardiogram in the diagnosis of cardiogenic syncope

目的探讨心源性晕厥患者采用24 h动态心电图诊断的临床价值。方法对118例不明原因晕厥、黑朦患者开展24 h动态心电图监测,记录病发时的心电图状况。结果 39例存在晕厥,93例存在心律失常,晕厥组中仅6例不存在心律失常,未晕厥组19例不存在心律失常,两者差异有统计学意义(P<0.05)。两组中不同心律失常类型患者的R-R间期比较差异显著(P<0.05)。结论针对心源性晕厥患者开展动态心电图监测能够有效诊断具体病因。

Objective To investigate the clinical value of the 24 hour dynamic electrocardiogram diagnosis of the car-diogenic syncope patients. Methods To carry out 24 hour Holter monitoring electrocardiogram for the 118 patients with unexplained syncope, amaurosis, and then to record the ECG conditions at the onset of the illness. Results Thirty-nine cases were with syncope, and 93 cases with arrhythmias, only 6 cases without arrhythmias in the syncope group, 19 cases without arrhythmias in the absence of syncope group. The difference was statistically significant （P〈0.05）. R-R interval between the two different types of arrhythmia of patients had significant difference （P〈0.05）. Conclusion To carry out Holter monitoring electrocardiogram for patients with cardiogenic syncope can effectively diagnose the specific etiology.