Value of 12-lead Holter monitoring for diagnosis of inferior myocardial ischemia with coronary heart disease
- VernacularTitle:12导联动态心电图诊断冠心病下壁心肌缺血的意义
- Author:
Junjuan YANG
;
Jianmei LI
;
Tao HONG
- Publication Type:Journal Article
- Keywords:
Electrocariography, ambulatory;
Coronary angiography;
Myocardial ischemia
- From:
Chinese Journal of Interventional Cardiology
1996;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of 12-lead Holter monitoring for coronary heart disease (CHD) patients with inferior myocardial ischemia. Methods Ninety-six patients with CHD had accepted coronary angiography (CAG) and 12-lead Holter examination. Results The sensitivity for detecting inferior myocardial ischemia in 12-lead Holter monitoring was 64.91%, the specificity 53.85%, and the positive detecting value 67.20%. In 12-lead Holter monitoring, inferior myocardial ischemia was recorded in 20% of only RCA lesion group, and in 70.37% of double -vessel lesion group, and in 80% of three-vessel lesion group.Conclusion 12-lead Holter monitoring is of some value to evaluate the inferior myocardial ischemia in CHD patients, but other clinical data should be considered.
