动态心电图在老年心血管疾病患者中的应用价值研究

Application value of dynamic electro-cardiogram in elderly patients with cardiovascular diseases

目的:探讨动态心电图在老年心血管疾病患者中的应用价值。方法:选取2016年9月—2017年9月期间我院收治的50例老年心血管疾病患者,采取常规心电图和动态心电图对50例患者进行检查,并对检查结果进行对比分析。结果:动态心电图室速、房颤、房速、房扑、房室传导阻滞、窦房传导阻滞、束支阻滞等检出率明显比常规心电图更高,差异具有统计学意义(P <0.05);而在动态心电图检查中,38例患侧出现缺血性ST段改变,30例患者出现无症状性心肌缺血情况,无症状性心肌缺血及有症状性心肌缺血情况时间多出现在0:00～8:00。结论:采取动态心电图可准确对老年心血管疾病进行诊断,促进患者早期治疗,提高治疗效果。

Objective To explore the application value of dynamic electro-cardiogram(DCG)in elderly patients with cardiovascular diseases.Methods 50 elderly patients with cardiovascular diseases were selected from September 2016 to September 2017 in our hospital.The routine electrocardiogram and dynamic electrocardiogram were used to examine 50 patients,and the results were compared and analyzed.Results The detection rates of ventricular tachycardia,atrial fibrillation,atrial velocity,atrial flutter,atrioventricular block,sinoatrial block and bundle branch block in dynamic electrocardiogram were significantly higher than those in conventional electrocardiogram(P<0.05).In dynamic electrocardiogram examination,38 patients had ischemic ST segment changes,30 patients had asymptomatic myocardial ischemia and asymptomatic myocardial deficiency.Blood and symptomatic myocardial ischemia occurred between 0:00 and 8:00.Conclusion Dynamic electro-cardiogram can accurately diagnose cardiovascular diseases in the elderly,promote early treatment and improve the therapeutic effect.