24 h心电图与常规心电图诊断冠心病心律失常的临床效果

Abstract
Figure/Table
References (18)
Related Citation (15)

Download: PDF (0 KB) HTML (38 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the clinical effect of 24 hours electrocardiogram and routine electrocardiogram in the diagnosis of coronary heart disease witharrhythmia.Methods From January 2013 to December 2015，120 cases of patientswith coronary heart diseasewho diagnosed by coronary angiography diagnosis in our hospitalwere selected as the object of the study，all patients underwent routine electrocardiogram and 24 hours ambulatory ECG，two kinds of electrocardiogram inspection methods for arrhythmia detection were analyzed，the arrhythmia diagnostic sensitivity，specificity，accuracy，detection rate of two kinds of electrocardiogram inspectionmethods were calculated，and the different arrhythmia performance of two kinds of electrocardiogram inspection methods were compared.Results The electrocardiogram （ECG）on arrhythmia of coronary heart disease diagnostic sensitivity，specificity and accuracy were 69.52%，33.33%，65.00%，24 hours electrocardiogram on arrhythmia of coronary heart disease diagnostic sensitivity，specificity and accuracy were 82.86%，73.33%and 81.67%，two groups of difference compared with statistical significance（P＜0.05）.Compared with the conventional ECG，24-hour electrocardiogram of ventricular premature contraction second and bigeminy，ventricular premature contraction in pairs，room sex period before the second shrinkage and trigeminy，atrial premature beats in pairs of detection rate were significantly higher（P＜0.05）.Conclusion In the clinical diagnosis of coronary heart disease arrhythmia，the accuracy of 24 hours of ECG diagnosis is higher than the conventional ECG，and its diagnostic value is significant，can be used as the first choice of diagnosis of coronary heart disease arrhythmia.

Key words： Coronary heart disease Arrhythmia Conventional ECG 24 hours ECG Diagnosis

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHONG De-fu
	LILi

Cite this article:

ZHONG De-fu,LILi. Clinical effect on the diagnosis of coronary heart disease witharrhythm ia by 24 hours electrocardiogram and routine electrocardiogram[J]. 中国当代医药, 2016, 23(25): 32-34.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I25/32

［1］	Gramer BM，Muenzel D，Leber V，et al.Impact of iterative reconstruction on CNR and SNR in dynamic myocardial perfusion imaging in an animalmodel［J］.Eur Radiol，2012，22 （12）：2654-2661.
［3］	尹乐芬.24小时心电图与常规心电图诊断冠心病心律失常的比较［J］.中国保健营养，2014，24（2）：767-768.
［4］	金杯.24小时心电图对心律失常诊断价值研究［J］.吉林医学，2013，34（30）：6324-6324.
［5］	郑易，岑镇波，胡海雷，等.动态心电图与常规心电图诊断冠心病患者心肌缺血及心律失常的临床效果比较［J］.现代实用医学，2011，23（6）：639-640.
［6］	张红梅，王学工，李艳玲，等.常规心电图与动态心电图对冠心病心律失常的诊断价值比较［J］.中国基层医药，2012，19（17）：2592-2593.
［2］	Wang Y，Qin L，Shi X，et al.Adenosine-stress dynamic myocardial perfusion imaging with second-generation dualsource CT：Comparison with conventional catheter coronary angiography and SPECT nuclearmyocardial perfusion imaging［J］.AJR AM JRoentgenol，2012，198（3）：521-529.
［7］	魏彤.12导联动态心电图在老年冠心病患者心肌缺血和心律失常诊断中的价值［J］.中国老年学杂志，2015，35（18）：5310-5311.
［8］	Peng Y，Sun Z.Characterization of QT and RR interval series during acute myocardial ischemia by means of recurrence quantification analysis［J］.Med Biol Eng Comput，2011，49（1）：25-31.
［9］	杨海霞.动态心电图在常规心电图诊断冠心病心律失常患者中的应用价值［J］.医疗装备，2016，29（3）：155-156.
［10］	游梅.用动态心电图和常规心电图诊断冠心病心律失常的效果对比［J］.求医问药，2013，11（12）：152-153.
［11］	李伟.动态心电图与常规心电图诊断冠心病患者心肌缺血及心律失常的临床效果比较［J］.中国当代医药，2013，20（19）：191-192.
［12］	钱菁菁.动态心电图与常规心电图诊断冠心病患者心律失常的比较［J］.中国实用医药，2013，8（30）：124-125.
［13］	顾喆，章冬霞.动态心电图与常规心电图检查对冠心病并心律失常的诊断价值比较［J］.中国基层医药，2011，18 （3）：355-356.
［14］	Chia-Ping Shen，Wen-Chung Kao，Yueh-Yiing Yang，etal. Detection of cardiac arrhythmia in electrocardiograms using adaptive feature extraction and modified support vector machines［J］.Expert Systems with Application，2012，39 （9）：7845-7852.
［15］	汤喜红，孙玉敏.动态心电图与常规心电图诊断冠心病患者心律失常的比较［J］.中国卫生产业，2012，10（29）：106.
［16］	Romero D，Ringborn M，Laguna P，et al.Depolarization changes during acutemyocardial ischemia by evaluation of QRS slopes：standard lead and vectorial approach［J］.IEEE Trans Biomed Eng，2011，58（1）：110-120.
［17］	董亚东.24小时心电图与常规心电图诊断冠心病心律失常的比较［J］.临床研究，2015，23（11）：48-49.
［18］	任玉英.24小时心电图与常规心电图诊断冠心病心律失常的比较分析［J］.中西医结合心血管病电子杂志，2014，2（15）：60.