Comparison of the diagnostic value of dynamic electrocardiogram and routine electrocardiogram in coronary heart disease
10.3760/cma.j.issn.1008-6706.2018.10.016
- VernacularTitle:动态心电图与常规心电图对冠心病心律失常的诊断价值比较
- Author:
Xiang ZHU
1
Author Information
1. 建德市第一人民医院心电图室
- Keywords:
Coronary artery disease;
Arrhythmias;
cardiac;
Electrocardiography
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(10):1283-1286
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the diagnostic value of dynamic electrocardiogram ( ECG) and conventional ECG on cardiac arrhythmia of coronary heart disease (CHD).Methods 97 CHD patients with cardiac arrhythmias were selected as study objects .All the patients received dynamic ECG and conventional ECG inspection .The diagnosis results were statistically analyzed .Results ( 1 ) The detection rate of dynamic ECG for cardiac arrhythmia was 87.63%,which of conventional ECG was 74.23%,and the difference was statistically significant (χ2 =5.644,P<0.05).(2)The detection rates of premature atrial beats and early onset ,premature ventricular beats and early onset , ventricular tachycardia between dynamic ECG and conventional ECG had no statistically significant differences (χ2 =0.084,0.534,3.705,all P>0.05).The detection rates of dynamic ECG for atrial premature beat ,ventricular prema-ture beat,atrial fibrillation,short array supraventricular speed ,two or three joint rhythm of atrial premature beat and two or three couplet rhythm of ventricular premature beat ,were higher than conventional ECG ,and the differences were statistically significant (χ2 =20.541, 35.877, 4.040, 26.891, 19.282, 18.281, all P <0.05 ).Conclusion Compared with the conventional ECG ,dynamic ECG has higher value in the diagnosis of CHD with cardiac arrhythmia , which can accurately detect the coronary ischemia ,arrhythmia seizure frequency and time ,accurately monitor patients'ECG signal ,determine the specific type of cardiac arrhythmias ,thus to provide evidence for treatment .
