动态心电图在心源性晕厥中的临床应用价值

The Clinical Value of Dynamic Electrocardiogram in Cardiogenic Syncope

为了探讨动态心电图在心源性晕厥诊断中的临床价值,对180例疑为心源性晕厥患者行动态心电图检查,结合患者生活日志,由心电技术专业医师通过人机对话进行回放分析,结果显示检出与晕厥发作相关的心律失常共39例,阳性检出率为21.7%,其中缓慢型心律失常30例,晕厥组RR间期明显较无晕厥组长(P<0.05),快速型心律失常9例。因此,对于疑为心源性晕厥的患者,动态心电图能够长程不间断记录患者的心电信号,监测方式简便、无创,可反复多次进行,应积极采用动态心电图检查以查明晕厥原因。

In order to investigate the clinical value of the dynamic electrocardiogram in the diagnosis of cardiogenic syncope, 180 patients with suspected cardiogenic syncope underwent ambulatory examinations. The electrocardiogram technology professional doctors used the man-machine interaction to replay analysis with patient log. The results showed that there were 39 cases of arrhythmia associated with syncope, and the positive rate was 21.7%. Of which 30 cases were slow type arrhythmia and 9 cases of rapid type arrhythmia. The RR interval in the syncope group was significantly longer than that in the no syncope （P〈 0. 05）. As the more electrocardiogram signals can be recorded uninterruptedly by the dynamic electrocardiogram monitoring, and the method is simple and noninvasive, and can be repeated. Therefore, for patients with suspected cardiogenic syncope, the dynamic electrocardiogram can be used to find out the reasons of syncope.