动态心电图检查老年冠心病心肌缺血和心律失常临床价值

Clinical Value of Ambulatory Electrocardiogram in Myocardial Ischemia and Arrhythmia in Elderly Patients with Coronary Heart Disease

目的:评价动态心电图检查老年冠心病心肌缺血和心律失常的临床应用价值。方法:纳入2019年1月~2019年12月到本院进行治疗的92例老年冠心病患者作为调查对象,按照随机方法将所有患者分为观察组和对照组,每组平均46例,分别对两组患者选择动态心电图和常规心电图方案进行检查,对两组不同方法检查患者心肌缺血、心律失常的检出率进行统计。结果:观察组心肌缺血检出阳性35例,检出率为76.09%,对照组心肌缺血检出阳性24例,检出率为52.17%,P<0.05;观察组心律失常检出阳性36例,检出率为78.26%,对照组心律失常检出阳性25例,检出率为54.35%,P<0.05。结论:临床对老年冠心病心肌缺血和心律失常患者采用动态心电图进行检查的检出率明显优于常规心电图检查,可为临床的诊断和治疗提供依据。

Objective:To evaluate the clinical value of ambulatory electrocardiogram in myocardial ischemia and arrhythmia in elderly patients with coronary heart disease.Methods:The investigation period of this article is from January 2019 to December 2019.92 elderly patients with coronary heart disease who were treated in our hospital during this period were selected as the survey object.All patients were divided into an observation group and a control group according to a random method.The group had an average of 46 patients.The two groups of patients selected Holter and conventional ECG schemes for examination,and the detection rates of myocardial ischemia and arrhythmia in the two groups were counted.Results:35 cases were detected positive for myocardial ischemia in the observation group,the detection rate was 76.09%,24 cases were detected positive for myocardial ischemia in the control group,the detection rate was 52.17%,P<0.05;36 cases were positive for arrhythmia in the observation group,the detection rate was 78.26%.In the control group,25 cases were positive for arrhythmia,the detection rate was 54.35%,P<0.05.Conclusion:The detection rate of ambulatory electrocardiogram in elderly patients with myocardial ischemia and arrhythmia in coronary heart disease is significantly better than conventional electrocardiogram,which can provide a basis for clinical diagnosis and treatment.