摘要
目的:探讨"城市之心"TJH-03A型远程心电记录仪的临床应用意义。方法:武汉市1014例社区居民接受"城市之心"TJH-03A型远程心电记录仪检查,收集并分析其临床及心电图资料。结果:远程心电图检查正常者359例(35.40%),异常者655例(64.60%)。异常者中有581名(88.7%)患者合并有多种心律失常,故共有828例次心电图异常,按异常率高低顺序前10位依次为(1)复极异常320例次(38.65%),(2)窦性心动过缓98例次(11.84%)、(3)心肌缺血98例次(11.84%)、(4)传导阻滞78例次(9.42%)、(5)心室肥大及高电压56例次(6.76%)、(6)房性早搏43例次(5.19%)、(7)心房颤动37例次(4.47%),(8)窦性心动过速35例次(4.23%)、(9)室性早搏24例次(2.90%)、(10)怀疑心梗19例次(2.29%),其它:QT间期延长5例次,3例次以下的有:房性心动过速、心房扑动、室性心动过速、室上性心动过速、Brugada波、右位心。结论:"城市之心"TJH-03A型远程心电记录仪操作方便,能实施远程心电记录,可发现多种心律失常,对心电图诊断,特别是心律失常诊断具有重要意义。
Objective:To evaluate the value of clinical application of "Heart of the City" type TJH-03A remote electrocardiogram recorder(remote ECG).Methods:A total of 1 014 community residents from Wuhan received ECG examination by "Heart of the City" type TJH-03A remote ECG recorder.Clinical and ECG data of all subjects were collected and analyzed.Results:There were 359(35.40%) cases with normal ECG and 655(64.60%) cases with abnormal ECG,after remote ECG examination.There were 581 cases had a variety of arrhythmia in 655 cases with abnormal ECG,so there were 828 cases times with abnormal ECG,in which there were(1)320 cases times(38.65%) with repolarization abnormality,(2)98 cases times(11.84%) with sinus bradycardia,(3)98 cases times(11.84%)with myocardial ischemia,(4)78 cases times(9.42%)with conduction block,(5)56 cases times(6.76%) with ventricular hypertrophy and high voltage,(6)43 cases times(5.19%) with atrial premature beats(7)37 cases times(4.47%)with atrial fibrillation,(8)35 cases times(4.23%)with sinus tachycardia,(9)24 cases times(2.90%)with ventricular premature beats,(10)19 cases times(2.29%)with suspected myocardial infarction according to ECG abnormality rate order.In addition,there were 5 cases timas with QT interval prolongation,and abnormal ECG with abnormality rate ≤3 cases times: atrial tachycardia,atrial flutter,supraventricular tachycardia,ventricular tachycardia,Brugada wave,dextrocardia.Conclusion:"Heart of the City" type TJH-03A remote electrocardiogram recorder is convenient to use,it can perform remote electrocardiogram record,and find a variety of arrhythmias.It′s important for ECG diagnosis,especially for diagnosis of arrhythmias.
出处
《心血管康复医学杂志》
CAS
2012年第2期196-198,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
基金
National natural science foundation(8107014217)
new century excellent talents support project of Ministry of Education(NCET-08-0414)
excellent group project of natural science foundation of Hubei province(2007ABC011)~~