冠脉造影联合动态心电图监测在老年冠心病患者诊断中的应用分析

Application of Coronary Angiography Joint Holter Monitor in the Diagnosis of Coronary Heart Disease in the Elderly

目的分析冠脉造影联合动态心电图监测在老年冠心病患者患者诊断中的应用价值。方法本次研究选取我院2013年3月至2014年3月治疗的82例冠心病老年患者为例,患者均使用冠脉造影联合12导联动态心电图监测进行诊断。结果 82例患者中,共有63例患者为阳性冠结果,19例患者为阴性结果 ;59例患者12导联动态心电图结果为阳性,23例患者12导联动态心电图结果为阴性。患者冠状动脉病变程度与12导联动态心电图ST低压阳性率差异并不明显,不存在统计学意义(P>0.05)。结论只使用12导联动态心电图监测诊断老年冠心病的应用效果较差,可以使用冠脉造影配合诊断,提高老年冠心病的诊断准确率,适合进行临床推广。

Objective To analyze coronary angiography combined dynamic electrocardiogram （ecg） monitoring value in the diagnosis of patients with senile patients with coronary heart disease （CHD）. Methods This study selected from March 2013 to March 2014 for the treatment of 82 cases of coronary heart disease, for example, elderly patients with coronary angiography should be used in patients with combined dynamic electrocardiogram monitoring and diagnosis of 12 lead.Results82 cases of patients, a total of 63 cases of patients with positive results, 19 cases with negative result; Dynamic electrocardiogram results of 59 patients with 12 lead to positive, dynamic electrocardiogram results of 23 cases with 12 lead to negative. In patients with coronary artery lesion severity and the dynamic of 12 lead ecg ST low positive rate difference is not obvious, there is no statistical signiifcance （P〉 0.05）.Conclusion Using only 12 lead dynamic electrocardiogram （ecg） monitoring and diagnosis of senile coronary heart disease （CHD） application effect is poorer, can use cooperate diagnostic coronary angiography, improve the diagnosis accuracy of senile coronary heart disease （CHD）, suitable for clinical promotion.