Clinical value of Holter monitor for clinical diagnosis and treatment of dilated cardiomyopathy

VernacularTitle:动态心电图检查对扩张型心肌病临床诊治的价值探讨
Author: Xin QIU ; Min GAO
Publication Type:Journal Article
Keywords: Electrocardiography,ambulatory; Dilated cardiomyopathy; Ventricular tachycardia
From: Chinese Journal of Primary Medicine and Pharmacy 2015;22(2):207-209
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical value of Holter monitor(DCG) in the diagnosis and treatment of dilated cardiomyopathy (DCM).Methods According to NT-proBNP ＞ 2 000pg/mL,left ventricular ejection fraction (LVEF) ≤40％,New York Heart Association (NYHA) rated Ⅲ-Ⅳ,67 patients with DCM were divided into the high risk group and nonhigh risk group.All kinds of arrhythmia patients proportion was compared between the two groups,in order to understand the risk factors of DCM and arrhythmias.Results In high risk group,18 cases had ventricular tachycardia,the incidence rate was 66.7％,which was significantly higher than that of non high risk group (2 cases,5.0％) (x2 =29.271,P ＜ 0.01).While other arrhythmia,atrial premature beats,single premature ventricular contraction,atrial fibrillation and so on,had no statistical difference (P ＞ 0.05).Conclusion The DCM patients with various types of arrhythmia,ventricular tachycardia in patients directly influence the severity and prognosis,Holter monitor has an irreplaceable role.