摘要
目的探讨动态心电图在房性期前收缩诱发阵发性心房颤动诊断中的应用价值。方法纳入2016年1月至2019年10月广东省阳春市中医院收治的62例疑似房性期前收缩诱发阵发性心房颤动的患者,均进行常规心电图检查、动态心电图检查,比较常规心电图与动态心电图诊断的准确率、漏诊率及发病时心室率、心脏形态学异常率。结果动态心电图诊断准确率、发病时心室率、心脏形态学异常率高于常规心电图,漏诊率低于常规心电图,差异均有统计学意义(P<0.05)。结论动态心电图可显著提高房性期前收缩诱发阵发性心房颤动诊断准确率,降低漏诊率,有助于患者及早接受针对性治疗。
Objective To investigate the utility of Holter monitoring in the diagnosis of paroxysmal atrial fibrillation induced by systole before atrial extrasystole.Methods Sixty two patients with suspected atrial extrasystole induced paroxysmal atrial fibrillation who were admitted to the Guangdong traditional Chinese medicine hospital(Yangchun,Guangdong,China)between January 2016 and October 2019 were included and underwent routine electrocardiography,Holter monitoring to compare the accuracy,missed diagnosis rate and the incidence of ventricular and cardiac morphological abnormalities between routine and Holter monitoring.Results Holter ECG had higher diagnostic accuracy,ventricular rate at onset and abnormal cardiac morphology than conventional ECG,while the missed rate was lower than conventional ECG,all differences were statistically significant(P<0.05).Conclusion Holter monitoring significantly increases the diagnostic accuracy and reduces the missed rate of paroxysmal atrial fibrillation induced by systole before atrial fibrillation,which may help patients to receive targeted therapy early.
作者
李顿
吴燕云
Li Dun;Wu Yanyun(Department of ECG room,Yangchun Hospital of Traditional Chinese Medicine,Yangchun Guangdong 529600,China)
出处
《医疗装备》
2020年第24期31-32,共2页
Medical Equipment
关键词
阵发性心房颤动
房性期前收缩
冠状动脉造影
心电图
paroxysmal atrial fibrillation
atrial extrasystole
coronary angiography
electrocardiogram
