162例病毒性心肌炎动态心电图分析

THE ANALYSIS ON DYNAMIC ELECTROCARDIOGRAM OF 162 PATIENTS WITH VIRAL MYOCARDITIS

目的:观察病毒性心肌炎患者动态心电图监测情况。方法:对临床拟诊病毒性心肌炎患者进行24小时动态心电图监测。结果:162例患者中,24小时有室性早搏(VE)82例;室上性早搏(SVE)78例;室性心动过速(VT)2例;室上性心动过速(SVT)8例;二度房室传导阻滞(AVB)18例;二度窦房传导阻滞(SAB)8例;三度房室传导阻滞(AVB)2例;有ST-T改变的32例。结论:动态心电图检查为病毒性心肌炎的诊断、治疗、预后分析提供了重要依据。

Objective To observe the change of dynamic electrocardiogram (DCG) of patients with viral my- ocarditis . Methods One hundred and sixty-two patients with viral myocarditis were mamtred by DCG. Results In 162 cases, ventricular extrasystole (VE) was 82 cases, supraventricular extrasystole (SVE) 78 cases, supraven- tricular tachycardia (SVT) 8 cases, ventricular tachycardia (VT) 2 cases, auriculo-ventricular block (Ⅱ°AVB) 18 cases, sino-auricular block (Ⅱ°SAB) 8 cases and auriculo-ventricular block ( Ⅲ°AVB) 2 cases in twenty - four hours. Conclusion DCG provide the important basis for diagnosis, treatment and prognostic analysis of viral myocarcitis.