动态心电图在心律失常及心肌缺血中的诊断价值应用

Application of dynamic electrocardiogram in diagnosis of arrhythmia and myocardial ischemia

目的分析心肌缺血和心律失常采用动态心电图诊断效果。方法选择2018年7月至2020年6月在本院实施冠心病治疗的200例患者为研究样本。全部患者入院后均实施常规心电图及动态心电图检查,比较两种检查方式在心肌缺血和心律失常方面检出率及对不同心律失常类型的检出率。结果动态心电图与常规心电图心肌缺血检出率为81.50%、47.50%(P<0.05);动态心电图与常规心电图心律失常检出率为87.50%、56.50%(P<0.05)。在房室阻滞、室性早搏二三联律、室性早搏单发、室性早搏成对、房性早搏二三联律、房性早搏单发及房性早搏成对方面动态心电图检出率均高于常规心电图(P<0.05)。结论心肌缺血和心律失常采用动态心电图实施检测可提升检测准确性,且动态心电图还可用于不同心律失常类型诊断,为临床合理制定治疗方案提供依据,有利于疾病的早期治疗,发挥一定临床应用效果。

Objective To analyze the diagnostic effect of dynamic electrocardiogram on myocardial ischemia and arrhythmia.Methods A total of 200 patients who were treated for coronary heart disease in our hospital from July 2018 and June 2020 were selected as the study samples.After admission,all patients underwent routine ECG and Holter examinations.The detection rates of myocardial ischemia,arrhythmia,and different types of arrhythmia between the two investigation methods were compared.Results The detection rates of myocardial ischemia by dynamic electrocardiogram and conventional ECG were 81.50%and 47.50%(P<0.05).The detection rates of arrhythmia by dynamic electrocardiogram and conventional ECG were 87.50%and 56.50%(P<0.05).The detection rates of atrioventricular block,ventricular premature beats,Single ventricular premature beat,premature ventricular beats,Single atrial premature beats,atrial premature beats,dual triptych,atrial premature beats,and paired atrial premature beats by dynamic ECG detection were higher than those of conventional electrocardiogram(P<0.05).Conclusion The dynamic electrocardiogram in myocardial ischemia and arrhythmia can improve the accuracy of detection,and can also be used for the diagnosis of different arrhythmia types,which provides a basis for clinically reasonable treatment plans.And it is beneficial to the early treatment of the disease and plays a specific clinical application effect.