动态心电图长时程监测在急性心肌梗死患者伴发心律失常中的诊断价值

doi:10.3969/j.issn.1671-7171.2023.10.024

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Abstract 【Objective】To investigate the diagnostic value of dynamic electrocardiogram long-term monitoring in patients with acute myocardial infarction and coronary heart disease with arrhythmia. 【Methods】A retrospective analysis of the clinical data of 89 patients with acute myocardial infarction and coronary heart disease with arrhythmia who visited the hospital from February 2020 to March 2022 was studied. All patients first received 24-hour dynamic electrocardiogram monitoring and then adopted long-term dynamic electrocardiogram monitoring. The detection rate of arrhythmia, the detection of ventricular arrhythmia, the detection of atrial arrhythmia and the comfort status scale (GCQ) were compared between the two monitoring methods. The mean time between patients' first recorded asymptomatic and symptomatic arrhythmias was counted. 【Results】Intracardiac electrophysiological examination results showed that 79 of 89 patients with acute myocardial infarction and coronary heart disease had arrhythmia, including 18 cases of ventricular arrhythmia, 5 cases of atrial block, 38 cases of atrial arrhythmia, 10 cases of sinus arrhythmia, and 8 cases of junctional arrhythmia. The detection rate of arrhythmia in long-term monitoring of holter monitoring was higher than that of Holter monitoring within 24 hours (P<0.05). There was no difference in the detection rate of different types of premature ventricular contractions between the two monitoring methods (P>0.05). There was no difference in the detection rate of different types of atrial arrhythmias between the two monitoring methods (P>0.05). The detection rate of long-term monitoring of atrial arrhythmia was higher than that of 24-hour atrial arrhythmia monitoring (P<0.05). The mean time for patients to first record asymptomatic arrhythmias was 6.25 days, and the mean time for patients to first record symptomatic arrhythmias was 3.12 days. The GCQ score of long-term monitoring of Holter monitoring was higher than that of Holter monitoring of 24 hours (P<0.05). 【Conclusion】Dynamic electrocardiogram long-term monitoring in patients with acute myocardial infarction and coronary heart disease with arrhythmia has good diagnostic value and can improve the comfort of the patch.

Key words： Myocardial Infarction/CO Acute Disease Arrhythmias, Cardiac Electrocardiography, Ambulatory

Received: 03 November 2022

PACS:

R542.22

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	CUI Hailing
	FENG Jing

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CUI Hailing,FENG Jing. Diagnostic Value of Dynamic Electrocardiogram Long-Term Monitoring in Patients with Acute Myocardial Infarction and Coronary Heart Disease with Arrhythmia[J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(10): 1526-1528,1532.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2023.10.024 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2023/V40/I10/1526

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