冠心病心律失常的动态心电图与常规心电图应用对比评价

Comparative Evaluation of Dynamic Electrocardiogram and Routine Electrocardiogram in Coronary Heart Disease

目的对比观察动态心电图与常规心电图在冠心病心律失常检查的效果情况。方法该组病例选择该院自2013年5月—2015年9月收治的47例冠心病心律失常患者的临床资料。全部患者均给予常规心电图及动态心电图检查、综合检查。对比观察两种检查方法对于房性早搏早发、成对、二、三联率,室性早搏早发、成对、二、三联率,心房颤动,短阵室上速及室速的检出率。结果动态心电图在房性早搏成对、二、三联,室性成对、二、三联,短阵室上速的检出率明显高于常规心电图(P<0.05),其他比较,差异均无统计学意义(P>0.05)。结论相比常规心电图,动态心电图可准确监测患者心电信号变化,提高冠心病患者心律失常的检出率,可以临床推广应用。

Objective To observe the dynamic electrocardiogram and routine electrocardiogram in coronary heart disease and arrhythmia inspection effect. Methods The clinical data of 47 cases of coronary heart disease patients with arrhythmia in the group of patients in our hospital from May 2013 ~2015 September 2009. All patients were given routine electrocardiogram and dynamic electrocardiogram examination and comprehensive examination. Comparative observation of two kinds of inspection methods for real premature premature, paired, two, triple rate, room premature premature, paired, two, triple rate, atrial fibrillation, paroxysmal ventricular tachycardia and ventricular tachycardia detection rate. Results Dynamic electrocardiogram in paired premature atrial contraction, second, triple room pairing, second, triple, paroxysmal ventricular rate detection rate was significantly higher than that of conventional ECG（P〈0.05）, in comparison to the other. There was no significant difference（P〉0.05）. Conclusion Compared to conventional ECG, dynamic ECG can be accurate monitoring of ECG signal change, improve cardiac arrhythmia in patients with coronary heart disease detection rate can be of clinical application.