摘要
目的 分析冠状动脉血管病变应用动态心电图进行检测评估的效果,为尽早诊断患者是否合并冠状动脉血管病变及其严重程度提供依据。方法 回顾性分析安阳市人民医院心功能科2019年10月至2022年10月收治的冠状动脉血管病变的120例患者,对患者进行24 h动态心电图检查,并经动脉造影进行确诊。将患者根据Gensini总分分为轻度、中度和重度组,比较3组研究对象心率、Gensini总分与心电图指标。将1支冠脉血管狭窄≥50%归为单支病变组,2支的为双支病变组,3支的为3支病变组,比较3组研究对象心率、Gensini总分与心电图指标。分析24 h动态心电图的诊断应用价值。结果 根据Gensini总分评估显示,120例患者中轻度病变55例,中度病变37例,重度病变28例,随着病变严重程度的升高,患者心率逐渐升高,Gensini总分逐渐升高,RMSDD、SDANN、SDNN数值逐渐降低(均P<0.05)。根据冠脉造影结果评估,120例患者单支病变42例,双支病变51例,三支病变27例,随着病变支数的增加,患者心率逐渐升高,Gensini总分逐渐升高,RMSDD、SDANN、SDNN数值逐渐降低(均P<0.05)。经Pearson分析显示,RMSDD、SDANN、SDNN数值与Gensini总分呈负相关(r=-0.632、-0.537、-0.761,P<0.05)。经分析RMSDD、SDANN、SDNN对冠心病病变严重程度诊断的曲线下面积(AUC)分别为0.645、0.658和0.746,三者联合诊断AUC为0.863,灵敏度和特异度分别为69.85%和90.63%。结论 冠脉血管病变程度应用动态心电图的评估效果好,具有较好的应用价值,可为临床诊断提供参考。
Objective To analyze the detection of the degree of coronary artery disease by dynamic electrocardiogram,so as to provide a basis for early diagnosis of patients with coronary artery disease and its severity.Methods A total of 120 patients with coronary artery disease admitted to Anyang People's Hospital from October 2019 to October 2022 were retrospectively analyzed.All patients underwent 24 h holter examination and were confirmed by arteriography.The patients were divided into mild,moderate and severe groups according to the total score of Gensini.The heart rate,total score of Gensini and ultrasound indexes of the three groups were compared.One coronary artery stenosis≥50%was classified as single-vessel lesion group,two coronary arteries stenosis≥50%was classified as multi-vessel lesion group,and three coronary arteries stenosis≥50%was classified as three-vessel lesion group.The heart rate,Gensini total score and ultrasound indexes of the three groups were compared.To analyze the diagnostic value of 24 h dynamic electrocardiogram in the degree of coronary artery disease.Results According to Gensini total score evaluation,55 cases of mild disease,37 cases of moderate disease,28 cases of severe disease,with the increase of the severity of disease,the heart rate of patients increased,Gensini total score gradually increased,RMSDD,SDANN,SDNN values gradually decreased(all P<0.05).There were 42 cases of single-vessel lesions,51 cases of double-vessel lesions,and 27 cases of three-vessel lesions.With the increase of lesions number,the heart rate of patients increased,the total Gensini score gradually increased,and the RMSDD,SDANN,and SDNN values gradually decreased(all P<0.05).Pearson analysis showed that the values of RMSDD,SDANN and SDNN were negatively correlated with the total score of Gensini(r=-0.632,-0.537,-0.761,P<0.05).The area under the curve(AU C)of RMSDD,SDANN and SDNN in the differential diagnosis of CHD severity were 0.645,0.658 and 0.746,respectively.The AU C of combined diagnosis of RMSDD,SDANN a
作者
崔文超
周桂花
陈丽
Cui Wen-chao;Zhou Gui-hua;Chen Li(Department of Cardiac Function,Anyang People's Hospital,Anyang 455000,Henan Province,China)
出处
《罕少疾病杂志》
2023年第9期50-51,共2页
Journal of Rare and Uncommon Diseases
