常规心电图与动态心电图诊断冠心病伴心律失常的价值分析
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摘要
目的探讨常规心电图与动态心电图诊断冠心病伴心律失常的临床价值。方法选择本院2012年3月至2018年6月收治的124例冠心病心律失常患者,将其分为观察组和对照组,各62例。两组患者心电图检查3 d均停用治疗药物。对照组行常规12导联心电图检查,观察组行动态心电图检查,对比分析两组心电图检查冠心病伴心律失常检出率,同时对比两组心电图检查后室性早搏、房性早搏、室性早搏二、三联律,房性早搏二、三联律,室性早搏成对、房室传导阻滞、短阵室上速等异常表现检出情况。结果观察组冠心病伴心律失常阳性检出率(83.71%,52/62)显著高于对照组(58.06%,36/62),差异具有统计学意义(P<0.05)。观察组室性早搏(58.06%,36/62),房性早搏(41.94%,26/62),室性早搏二、三联律(53.23%,33/62),房性早搏二、三联律(37.10%,23/62),室性早搏成对(40.32%,25/62),短阵室上速检出率(40.94%,26/62)均显著高于对照组(29.03%,18/62)、(20.97%,13/62)、(37.10%,23/62)、(16.13%,10/62)、(22.58%,14/62)、(17.74%,11/62),差异具有统计学意义(P<0.05);观察组房室传导阻滞检出率(20.97%,13/62)与对照组(19.35%,12/62)比较,差异无统计学意义。结论动态心电图对冠心病心律失常检出准确率显著高于常规12导联心电图,且有助于发现室/房性早搏、室性早搏成对、短阵室上速等异常心电表现,可为冠心病临床治疗提供可靠依据。
Objective To investigate the clinical value of conventional electrocardiogram and dynamic electrocardiogram in the diagnosis of coronary heart disease with arrhythmia. Methods A total of 124 patients with coronary heart disease and arrhythmia admitted to our hospital from March 2012 to June 2018 were enrolled. The patients were divided into observation group and control group, with 62 cases in each group. Both groups of patients were discontinued on the electrocardiogram for 3 days. The control group underwent conventional 12-lead electrocardiogram examination. The observation group underwent dynamic electrocardiography. The two groups were compared with ECG for coronary heart disease and arrhythmia. The ventricular premature beats, premature ventricular contractions and ventricular premature beats were compared between the two groups. Second, third law, atrial premature beats second, third law, ventricular premature beats pair, atrioventricular block, short-field room speed and other abnormal performance detection. Results The positive rate of coronary heart disease with arrhythmia(83.71%, 52/62) was significantly higher in the observation group than in the control group(58.06%, 36/62), and the difference was statistically significant(P<0.05). Observed group ventricular premature beats(58.06%, 36/62), atrial premature beats(41.94%, 26/62), ventricular premature beats, second and third syndromes(53.23%, 33/62), atrial premature beats, two or three laws(37.10%, 23/62), ventricular premature beats were paired(40.32%, 25/62), and the rate of rapid detection of short-term chambers(40.94%, 26/62) was significantly higher than that of the control group [(29.03%, 18/62),(20.97%, 13/62),(37.10%, 23/62),(16.13%, 10/62),(22.58%, 14/62),(17.74%, 11/62), the difference has statistical significance(P<0.05); the detection rate of atrioventricular block in the observation group(20.97%, 13/62) compared with the control(19.35%, 12/62) group, there was no significant difference. Conclusion The accuracy of dynamic electrocardiogram in the detection of arrhythmia in coronary heart disease is significantly higher than that in the control group, and it is helpful to find abnormal electrocardiographic manifestations such as ventricular/atrial premature beats, ventricular premature beats, short-field ventricular tachycardia, etc. Clinical treatment provides a reliable basis.
Objective To investigate the clinical value of conventional electrocardiogram and dynamic electrocardiogram in the diagnosis of coronary heart disease with arrhythmia. Methods A total of 124 patients with coronary heart disease and arrhythmia admitted to our hospital from March 2012 to June 2018 were enrolled. The patients were divided into observation group and control group, with 62 cases in each group. Both groups of patients were discontinued on the electrocardiogram for 3 days. The control group underwent conventional 12-lead electrocardiogram examination. The observation group underwent dynamic electrocardiography. The two groups were compared with ECG for coronary heart disease and arrhythmia. The ventricular premature beats, premature ventricular contractions and ventricular premature beats were compared between the two groups. Second, third law, atrial premature beats second, third law, ventricular premature beats pair, atrioventricular block, short-field room speed and other abnormal performance detection. Results The positive rate of coronary heart disease with arrhythmia(83.71%, 52/62) was significantly higher in the observation group than in the control group(58.06%, 36/62), and the difference was statistically significant(P<0.05). Observed group ventricular premature beats(58.06%, 36/62), atrial premature beats(41.94%, 26/62), ventricular premature beats, second and third syndromes(53.23%, 33/62), atrial premature beats, two or three laws(37.10%, 23/62), ventricular premature beats were paired(40.32%, 25/62), and the rate of rapid detection of short-term chambers(40.94%, 26/62) was significantly higher than that of the control group [(29.03%, 18/62),(20.97%, 13/62),(37.10%, 23/62),(16.13%, 10/62),(22.58%, 14/62),(17.74%, 11/62), the difference has statistical significance(P<0.05); the detection rate of atrioventricular block in the observation group(20.97%, 13/62) compared with the control(19.35%, 12/62) group, there was no significant difference. Conclusion The accuracy of dynamic electrocardiogram in the detection of arrhythmia in coronary heart disease is significantly higher than that in the control group, and it is helpful to find abnormal electrocardiographic manifestations such as ventricular/atrial premature beats, ventricular premature beats, short-field ventricular tachycardia, etc. Clinical treatment provides a reliable basis.
引文
[1]陈典.常规心电图与动态心电图诊断冠心病伴心律失常的价值[J].影像技术,2018,30(6):41-42.
[2]高硕.常规心电图与动态心电图在冠心病心律失常诊断中的应用比较[J].中西医结合心血管病电子杂志,2018,6(27):39,42.
[3]王芳.动态心电图与常规心电图对冠心病心律失常的诊断价值[J].中国实验诊断学,2017,21(9):1550-1551.
[4]张伟星.动态心电图(AECG)与常规心电图在临床诊断冠心病患者心肌缺血及心律失常中的价值分析[J].系统医学,2017,2(17):83-85.
[5]许先奎.探讨动态心电图与常规心电图诊断冠心病患者心肌缺血及心律失常的临床效果[J].影像研究与医学应用,2018,2(2):64-65.
[6]路君.冠心病心律失常的动态心电图与常规心电图应用对比评价[J].中西医结合心血管病电子杂志,2018,6(21):45-46.
[7]魏瑞丽.常规心电图与动态心电图对冠心病心律失常的诊断价值[J].全科口腔医学电子杂志,2018,5(20):126,129.
[8]高嵩.动态心电图与常规心电图诊断冠心病心律失常的临床意义[J].影像研究与医学应用,2018,2(12):126-127.
[9]武旻.动态心电图与常规心电图用于冠心病心肌缺血及心律失常的诊断价值对比[J].临床医学研究与实践,2018,3(13):142-143.
[10]桑彩霞,管利国.动态心电图与常规心电图应用于冠心病心律失常的对比评价[J].中西医结合心血管病电子杂志,2018,6(10):39.
[11]郭峰.对比动态心电图、常规心电图应用于冠心病患者心肌缺血、心律失常的诊断效果[J].中西医结合心血管病电子杂志,2018,6(3):49-50.
[12]张锐,薛宝忠.冠心病心律失常的动态心电图与常规心电图应用对比评价[J].中西医结合心血管病电子杂志,2018,6(3):57-58.
[13]钱坤.冠心病患者心律失常诊断的动态心电图与常规心电图对比分析[J].实用临床医药杂志,2017,21(9):191-192.
[14]陈继生,王达开,许军荣.常规心电图与动态心电图诊断冠心病伴心律失常的效果比较[J].实用临床医药杂志,2016,20(11):106-107.
[15]夏国宏,郑争达,杨海燕.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分析[J].医学影像学杂志,2016,26(2):354-356.
[2]高硕.常规心电图与动态心电图在冠心病心律失常诊断中的应用比较[J].中西医结合心血管病电子杂志,2018,6(27):39,42.
[3]王芳.动态心电图与常规心电图对冠心病心律失常的诊断价值[J].中国实验诊断学,2017,21(9):1550-1551.
[4]张伟星.动态心电图(AECG)与常规心电图在临床诊断冠心病患者心肌缺血及心律失常中的价值分析[J].系统医学,2017,2(17):83-85.
[5]许先奎.探讨动态心电图与常规心电图诊断冠心病患者心肌缺血及心律失常的临床效果[J].影像研究与医学应用,2018,2(2):64-65.
[6]路君.冠心病心律失常的动态心电图与常规心电图应用对比评价[J].中西医结合心血管病电子杂志,2018,6(21):45-46.
[7]魏瑞丽.常规心电图与动态心电图对冠心病心律失常的诊断价值[J].全科口腔医学电子杂志,2018,5(20):126,129.
[8]高嵩.动态心电图与常规心电图诊断冠心病心律失常的临床意义[J].影像研究与医学应用,2018,2(12):126-127.
[9]武旻.动态心电图与常规心电图用于冠心病心肌缺血及心律失常的诊断价值对比[J].临床医学研究与实践,2018,3(13):142-143.
[10]桑彩霞,管利国.动态心电图与常规心电图应用于冠心病心律失常的对比评价[J].中西医结合心血管病电子杂志,2018,6(10):39.
[11]郭峰.对比动态心电图、常规心电图应用于冠心病患者心肌缺血、心律失常的诊断效果[J].中西医结合心血管病电子杂志,2018,6(3):49-50.
[12]张锐,薛宝忠.冠心病心律失常的动态心电图与常规心电图应用对比评价[J].中西医结合心血管病电子杂志,2018,6(3):57-58.
[13]钱坤.冠心病患者心律失常诊断的动态心电图与常规心电图对比分析[J].实用临床医药杂志,2017,21(9):191-192.
[14]陈继生,王达开,许军荣.常规心电图与动态心电图诊断冠心病伴心律失常的效果比较[J].实用临床医药杂志,2016,20(11):106-107.
[15]夏国宏,郑争达,杨海燕.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分析[J].医学影像学杂志,2016,26(2):354-356.