远程动态心电监测系统在心律失常诊断中的临床应用价值

Clinical application value of telemonitoring electrocardiography monitor-ing system in diagnosis of arrhythmia

目的探讨远程动态心电监测系统诊断心律失常的临床应用价值。方法选取2016年1月~2017年2月于四川省人民医院东院接受远程动态心电图监测的1030例患者为研究对象,其中无效人数为38例,根据年龄将其分为A组(164例);B组(606例);C组(222例),观察并比较三组常规人口学特征及实验室资料、远程动态心电图数据、心律失常发生人数。结果 C组总胆固醇、三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇水平高于A组,差异均有统计学意义(均P <0.05)。每季度有效数据占佩戴总量百分比最低为90.4%,最高为98.7%。C组发生异位心律、房性/室性期前收缩、房性/室性心动过速、心房颤动/扑动、传导阻滞、室性融合波/逸博人数高于A组,差异均有统计学意义(均P <0.05);C组发生异位心律、房性/室性期前收缩、房性/室性心动过速、心房颤动/扑动、传导阻滞人数少于B组,差异均有统计学意义(均P <0.05);B组发生异位心律、房性/室性期前收缩、房性/室性心动过速、心房颤动/扑动、室性融合波/逸博人数高于A组,差异均有统计学意义(均P <0.05)。结论远程动态心电监测系统具备精准、实时、高效等特点,特别适合心律失常发生率较高的老年患者,具有广阔的临床应用前景。

Objective To investigate the clinical application value of telemonitoring electrocardiography monitoring system in diagnosis of arrhythmia. Methods From January 2016 to February 2017, 1030 cases who accepted telemonitoring electrocardiography monitoring system in East Hospital of Sichuan Provincial People′ s Hospital were selected,the number of invalid patients was 38 cases. According to age, they were divided into group A(164 cases), group B(606 cases) and group C(222 cases). The three groups of routine demographic characteristics and laboratory data, remote dynamic electrocardiography data, and the number of arrhythmias were observed and compared. Results The levels of total cholesterol, triglyceride, high density lipoprotein cholesterol and low density lipoprotein cholesterol in group C were higher than those in group A, with statistically significant differences(all P < 0.05). The percentage of quarterly valid data in total wearing volume is 90.4% at the lowest and 98.7% at the highest. The number of patients with ectopic heart rhythm, atrial/ventricular pre-systolic, atrial/ventricular tachycardia, atrial fibrillation/flutter, conduction block and ventricular fusion wave/wave in group C were higher than those in group A, with statistically significant differences(all P < 0.05). The number of patients with ectopic heart rhythm, atrial/ventricular pre-systolic, atrial/ventricular tachycardia, atrial fibrillation/flutter, and conduction block in group C were less than that in group B, with statistically significant differences(all P < 0.05). The number of patients with ectopic heart rhythm, atrial/ventricular pre-systolic, atrial/ventricular tachycardia, atrial fibrillation/flutter and ventricular fusion wave/wave in group B were higher than those in group A, with statistically significant differences(all P < 0.05). Conclusion Telemonitoring electrocardiography monitoring system has accurate, realtime and efficient features. It is especially suitable for elderly patients with high incidence of arrhythmia. So it has broad prospects of clinical application.