动态心电图与常规心电图诊断冠心病患者心律失常的比较

Comparison of Dynamic Electrocardiogram and Conventional Electrocardiogram in the Diagnosis of Arrhythmia in Patients With Coronary Heart Disease

目的比较动态心电图与常规心电图诊断冠心病患者心律失常的临床应用价值。方法选取我院所收治的80例冠心病伴心律失常患者,分别对其进行常规心电图和动态心电图检测,观察并比较两种检测方式的诊断结果。结果动态心电图的阳性检出率、室性早博二/三联、房性早搏二/三联、室性早搏成对、房性早搏成对及短阵室上速的检出率均高于常规心电图,两种检测方式的结果比较差异具有统计学意义(P<0.05);动态心电图与常规心电图的房室传导阻滞、房性早搏早发及室上性早搏早发的检出率比较差异不具有统计学意义(P>0.05)。结论相比于常规心电图,利用动态心电图临床诊断冠心病患者心律失常的操作更加方便,且准确率和阳性检出率高,具良好的诊断效果。

Objective To comparise the clinical application value of arrhythmia in patients with coronary heart disease treated by dynamic electrocardiogram and conventional electrocardiogram. Methods Selected 80 cases of coronary heart disease with arrhythmia patients in our hospital, Respectively executed routine ECG and dynamic ECG detection, and observed and compared the diagnostic results of the two detection methods. Results The dynamic ECG positive detection rate, ventricular premature beats Ⅱ/triple, atrial premature beats Ⅱ /triple, ventricular premature beats in pairs, atrial premature beats in pairs and the rate of detection in the pacing room all were significantly higher than conventional electrocardiogram. There were significant differences between the two groups （P〈0.05）. The detection rate of atriovcntricular block, premature atrial premature beats and premature ventricular premature beats in dynamic electrocardiogram and conventional electrocardiogram have no significant difference（P〉0.05）. Conclusion Compared to conventional ECG, use dynamic ECG to clinical diagnosis the coronary heart disease patients,the operation was more convenient, and accuracy and positive detection rate was higher, with a good diagnostic effect.