急性前壁与下壁心肌梗死心律失常临床诊断价值对比分析

Comparative Analysis of Clinical Diagnosis Value of Arrhythmia in Acute Anterior and Inferior Wall Myocardial Infarction

目的对比分析急性前壁与下壁心肌梗死心律失常临床诊断价值。方法选取该院2018年1月—2019年6月收治的急性前壁与下壁心肌梗死心律失常207例患者为研究对象,根据患者的诊断进行分组,采取分组对比诊断的方式进行分析,比较诊断的价值。结果常规心电图检查组心房颤动2.97%,动态心电图检查组心房颤动11.88%;常规心电图检查组室性早搏2.97%,动态心电图检查组室性早搏11.88%,差异有统计学意义(χ2=4.551,P=0.032)。急性下壁心肌梗死心律失常常规心电图检查组心房颤动11.32%,动态心电图检查组心房颤动2.83%;急性下壁心肌梗死心律失常常规心电图检查组室性早搏11.32%,动态心电图检查组室性早搏2.83%,差异有统计学意义(χ2=4.658,P=0.033)。前壁组动态心电图检查心房颤动11.88%,下壁组动态心电图检查心房颤动2.83%;前壁组动态心电图检查心房颤动11.88%,下壁组动态心电图检查心房颤动2.83%;心房颤动(Af)、室性早搏(PVC)比较,差异有统计学意义(χ2=4.754,P=0.031)。结论急性前壁与下壁心肌梗死心律失常患者通过不同的诊断方式结果有一定的差异,动态心电图检查的方式更具有临床推广价值。

Objective To compare and analyze the clinical diagnostic value of acute anterior myocardial infarction and inferior myocardial infarction.Methods 207 patients with acute anterior wall and inferior wall myocardial infarction in our hospital from January 2018 to June 2019 were selected as the subject of the study.According to the diagnosis of the patient,the group was analyzed and the value of the diagnosis was compared.Results Routine ECG examination group atrial fibrillation 2.97%,dynamic ECG examination group atrial fibrillation 11.88%;routine ECG examination group ventricular premature beat 2.97%,dynamic ECG examination group ventricular premature beat 11.88%;the difference was statistically significant(χ2=4.551,P=0.032).Atrial fibrillation was 11.32%in the routine electrocardiogram examination group and 2.83%in the dynamic electrocardiogram examination group.Ventricular premature beats in the conventional electrocardiogram group of acute inferior myocardial infarction arrhythmia were 11.32%,and ventricular premature beats in the dynamic electrocardiogram group were 2.83%,the difference was statistically significant(χ2=4.658,P=0.033).Atrial fibrillation in the anterior wall group was 11.88%,and atrial fibrillation in the lower wall group was 2.83%.Atrial fibrillation in the anterior wall group was 11.88%,and atrial fibrillation in the lower wall group was 2.83%.The difference between atrial fibrillation(Af)and premature ventricular beat(PVC)was statistically significant(χ2=4.754,P=0.031).Conclusion There are some differences in the diagnosis results between patients with acute anterior myocardial infarction and inferior myocardial infarction by different diagnostic methods,and dynamic electrocardiogram examination is more valuable in clinic.