动态心电图临床操作标准化方法
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摘要
动态心电图,又称Holter或Holter检查,是一种评价各种心脏病患者心电图异常的简便、高效、准确、安全的无创检查,广泛用于心律失常的相关症状评价,心肌缺血的诊断,心脏病患者的预后和日常生活能力评估,药物疗效评价,起搏器等埋藏式心脏电治疗装置监测等领域。目前动态心电图已广泛用于于临床各级医疗机构,为了更好地发挥其作用,有必要对该项技术进行规范化培训。本文参考相关指南、共识及专家建议,结合作者经验,撰写动态心电图临床操作标准化方法供临床使用时参考。
Ambulatory electrocardiogram(ECG),also called Holter or Holter examination,is a simple,efficient,accurate and safe noninvasive examination for the evaluation of abnormal ECG in patients with cardiovascular dissease.It is widely used in the evaluation of cardiac arrhythmiasof heart disease patients,occurrence of myocardial ischemia,drug efficacy,the state of implantable cardiac electrotherapy devices such as pacemakers,etc.At present,ambulatory ECG has been widely used in clinical medical institutions.It is necessary to standardize the training of this technology.This paper refers to the relevant guidelines,consensus and expert suggestions,combined with the authors' experience,to write the standardized method of clinical operation of ambulatory ECG for clinical reference.
Ambulatory electrocardiogram(ECG),also called Holter or Holter examination,is a simple,efficient,accurate and safe noninvasive examination for the evaluation of abnormal ECG in patients with cardiovascular dissease.It is widely used in the evaluation of cardiac arrhythmiasof heart disease patients,occurrence of myocardial ischemia,drug efficacy,the state of implantable cardiac electrotherapy devices such as pacemakers,etc.At present,ambulatory ECG has been widely used in clinical medical institutions.It is necessary to standardize the training of this technology.This paper refers to the relevant guidelines,consensus and expert suggestions,combined with the authors' experience,to write the standardized method of clinical operation of ambulatory ECG for clinical reference.
引文
[1]尹彦琳.动态心电图的规范化[J].实用心电学杂志,2013,22(3):634-642.
[2]中华医学会心电生理和起搏分会心电图学学组.动态心电图工作指南[J].临床心电学杂志,1999,8(2):125-127.
[3]黄宝晨.体位对12导联动态心电图各项参数影响[J].临床荟萃,2005,20(11):625-626.
[4]中国心电学会.心电图危急值2017中国专家共识.临床心电学杂志,2017,26(6):401-402.
[5]刘仁光.动态心电图临床应用近况[J].中国实验诊断学,2000,4(3):151-152.
[6] Crawford MH,Bernstein SJ,Deedwania PC,et al.ACC/AHA Guidelines for Ambulatory Electrocardiography.A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines(Committee to Revise the Guidelines for Ambulatory Electrocardiography).Developed in collaboration with the North American Society for Pacing and Electrophysiology[J].JACC,1999,34(3):912-948.
[2]中华医学会心电生理和起搏分会心电图学学组.动态心电图工作指南[J].临床心电学杂志,1999,8(2):125-127.
[3]黄宝晨.体位对12导联动态心电图各项参数影响[J].临床荟萃,2005,20(11):625-626.
[4]中国心电学会.心电图危急值2017中国专家共识.临床心电学杂志,2017,26(6):401-402.
[5]刘仁光.动态心电图临床应用近况[J].中国实验诊断学,2000,4(3):151-152.
[6] Crawford MH,Bernstein SJ,Deedwania PC,et al.ACC/AHA Guidelines for Ambulatory Electrocardiography.A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines(Committee to Revise the Guidelines for Ambulatory Electrocardiography).Developed in collaboration with the North American Society for Pacing and Electrophysiology[J].JACC,1999,34(3):912-948.