Research on the application value of the dynamic ECG monitoring in the diagnosis on patients with sleep ap-nea syndrome complicated with arrhythmia
10.3760/cma.j.issn.1008-6706.2015.06.023
- VernacularTitle:动态心电图监测睡眠呼吸暂停综合征合并心律失常的应用研究
- Author:
Lan LIU
- Publication Type:Journal Article
- Keywords:
Sleep Apnea Syndromes;
Arrhythmias,Cardiac;
Electrocardiography,Ambulatory
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(6):867-869,870
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application value and feasibility in the dynamic ECG moni-toring in the diagnosis on patients with sleep apnea syndrome complicated with arrhythmia .Methods A total of 80 cases of sleep apnea syndrome confirmed by polysomnography diagnosis were randomly divided into the two groups,40 cases in each group .The patients in the control group were received routine ECG monitoring ,the observa-tion group were underwent dynamic ECG monitoring ,the arrhythmia detection rate in the two groups were compared . Results The ventricular premature beat ,atrial premature beat,ventricular in patients with Beckoning tachycardia , paroxysmal ventricular tachycardia , paroxysmal atrial tachycardia , first degree atrioventricular block , second degree atrioventricular block,premature atrial arrhythmia with sinoatrial block detected in the control group were 6 cases, 7 cases,9 cases,6 cases,5 cases,1 cases,1 cases,5 cases,respectively.However,21 cases,19 cases,25 cases, 16 cases,19 cases,7 cases,8 cases,14 cases were confirmed in the observation group ,the positive detection rate in cardiac arrhythmias in the observation group were significantly higher than that in the control group (χ2 =19.700, 17.000,13.700,21.200,22.600,53.000,50.500,26.100,all P<0.05).Conclusion Dynamic electrocardiogram can improve the positive rate of arrhythmia ,and have important clinical value in the diagnosis and treatment of sleep apnea syndrome complicated with cardiac arrhythmias ,which is worthy of clinical application .
