动态心电图在心源性晕厥中的临床诊断价值分析

Clinical Diagnostic Value of Dynamic Electrocardiogram in Cardiac Syncope

目的分析在心源性晕厥中应用动态心电图的临床应用价值。方法选取我院2016年3月—2018年1月接收的68例疑似为心源性晕厥患者作为研究对象,所有患者均予以动态心电图监测,分析其临床监测结果。结果 68例患者有37例出现严重心律失常,动态心电图监测过程中有24例出现晕厥,其中21例发生晕厥与患者存在严重的心率失常有关。研究组患者不同心律失常类型的R-R间距均长于对照组,差异有统计学意义(P<0.05)。结论在心源性晕厥中应用动态心电图进行监测,具有较高的诊断价值,对预防猝死发生具有重要的意义。

Objective To analyze the clinical application value of dynamic electrocardiogram in cardiac syncope. Methods Sixty-eight patients suspected of having cardiac syncope who were admitted to our hospital from March 2016 to January 2018 were selected as subjects. All patients were monitored by dynamic electrocardiogram and their clinical monitoring results were analyzed. Results Arrhythmia occurred in 37 of 68 patients. There were 24 cases of syncope during ambulatory electrocardiographic monitoring, and 21 cases of syncope were associated with severe arrhythmias. The R-R distances of different arrhythmia types in the study group were longer than those in the control group, and the difference was statistically significant（P 0.05）. Conclusion The use of dynamic electrocardiogram monitoring in cardiogenic syncope is of high diagnostic value and of great significance in preventing sudden death. It can be widely used in the diagnosis of clinical diseases.