动态心电图与常规心电图诊断冠状动脉粥样硬化性心脏病心律失常的应用价值研究

Value of Dynamic Electrocardiogram and Routine Electrocardiogram in the Diagnosis of Arrhythmia of Coronary Atherosclerotic Heart Disease

目的:分析动态心电图与常规心电图诊断冠状动脉粥样硬化性心脏病心律失常的应用价值。方法:研究涉及的患者例数为100例,其入院治疗时间为2016年6月～2017年8月,患者均采用动态心电图与常规心电图进行诊断,观察患者常规心电图和动态心电图的检出情况,分析两种检测方式下心律失常的发生情况。结果:采用动态心电图的检出率明显高于常规心电图,差异较大,同时动态心电图检出房室传导阻滞、短阵室上速、室性心律失常以及房性心律失常的人数明显多于常规心电图,差异较大,P<0.05。结论:采用动态心电图诊断冠状动脉粥样硬化性心脏病心律失常的的效果较高,能有效对患者进行早期诊断,可以分析心律失常的类型,提高临床诊断率,并且为临床治疗提供有效的数据,其效果远高于常规心电图。

Objective:To analyze the application value of dynamic electrocardiogram(ECG)and routine electrocardiogram(ECG)in diagnosing arrhythmia of coronary atherosclerotic heart disease.Methods:100 cases treated from June 2016 to August 2017 was involved in this test.The patients were diagnosed by dynamic electrocardiogram(DECG)and routine electrocardiogram(ECG),and the routine ECG and ambulatory electrocardiogram(DECG)were observed,the occurrence of arrhythmia under two detection methods was analyzed.Results:The detection rate of arrhythmia by dynamic electrocardiogram was significantly higher than that of conventional ECG,and the difference was significant.At the same time,the number of patients with atrioventricular block,supraventricular tachycardia,ventricular arrhythmias and atrial arrhythmias detected by dynamic electrocardiogram was significantly higher than that of routine electrocardiograms(P<0.05).Conclusion:Dynamic electrocardiogram is effective in diagnosing arrhythmias of coronary atherosclerotic heart disease.It can analyze the type of arrhythmia,improve the rate of clinical diagnosis,and provide effective data for clinical treatment.The effect is much higher than that of routine electrocardiogram.