[1]李亮,钟元利,阮红,等.动态与常规心电图诊断冠心病心肌缺血、心律失常、心绞痛的比较分析[J].中国医学物理学杂志,2021,38(8):946-949.[doi:DOI:10.3969/j.issn.1005-202X.2021.08.005]
　LI Liang,ZHONG Yuanli,RUAN Hong,et al.Comparison of dynamic and routine electrocardiograms for diagnosing myocardial ischemia, arrhythmia and angina pectoris of coronary heart disease[J].Chinese Journal of Medical Physics,2021,38(8):946-949.[doi:DOI:10.3969/j.issn.1005-202X.2021.08.005]
点击复制

动态与常规心电图诊断冠心病心肌缺血、心律失常、心绞痛的比较分析()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
38卷
期数:
2021年第8期
页码:
946-949
栏目:
医学影像物理
出版日期:
2021-08-02

文章信息/Info

Title:
Comparison of dynamic and routine electrocardiograms for diagnosing myocardial ischemia, arrhythmia and angina pectoris of coronary heart disease
文章编号:
1005-202X（2021）08-0946-04
作者:
李亮; 钟元利; 阮红; 何涛
广西医科大学第一附属医院心电诊断科， 广西 南宁 530022
Author(s):
LI Liang;  ZHONG Yuanli;  RUAN Hong;  HE Tao
Department of ECG Diagnosis, the First Affiliated Hospital of Guangxi Medical University, Nanning 530022, China
关键词:
冠心病; 心肌缺血; 心律失常; 心绞痛; 动态心电图; 常规心电图
Keywords:
Keywords: coronary heart disease myocardial ischemia arrhythmia angina pectoris dynamic electrocardiogram routine electrocardiogram
分类号:
R540.41
DOI:
DOI:10.3969/j.issn.1005-202X.2021.08.005
文献标志码:
A
摘要:
目的：研究24 h动态心电图在冠心病心肌缺血、心律失常、心绞痛中的诊断价值。方法：127例临床诊断冠心病的门诊和住院患者，均进行24 h动态心电图及常规心电图检查；比较两组心肌缺血、心律失常、心绞痛的检出情况。结果：动态组心肌缺血阳性检出率（90.55%）显著高于常规组（34.65%），差异具有统计学意义（P<0.05）。动态组各类心律失常检出率显著高于常规组（P<0.05）。动态组检出变异性心绞痛16例，常规心电图未发现，差异具有统计学意义（P<0.05）。结论：24 h动态心电图诊断冠心病心肌缺血、心律失常、心绞痛具有一定的临床价值。
Abstract:
Abstract: Objective To explore the diagnostic value of 24-hour dynamic electrocardiogram in myocardial ischemia, arrhythmia and angina pectoris of coronary heart disease. Methods A total of 127 outpatients and inpatients who were clinically diagnosed with coronary heart disease were examined by 24-hour dynamic electrocardiogram and routine electrocardiogram. The detection rates of myocardial ischemia, arrhythmia and angina pectoris were compared between two groups. Results The positive rate of myocardial ischemia in dynamic group (90.55%) was significantly higher than that in routine group (34.65%), and the difference was statistically significant (P<0.05). Moreover, the detection rate of arrhythmia in dynamic group was significantly higher than that in routine group (P<0.05). Through dynamic electrocardiogram, variant angina pectoris was detected in 16 cases, but variant angina pectoris was not found by routine electrocardiogram, and the difference in detection rate was statistically significant (P<0.05). Conclusion 24-h dynamic electrocardiogram has certain clinical value in diagnosing myocardial ischemia, arrhythmia and angina pectoris of coronary heart disease.

相似文献/References:

[1]杨希立,龚连生,张健瑜.脂蛋白相关磷脂酶A2与iMAP血管内超声斑块特征的相关性[J].中国医学物理学杂志,2015,32(04):525.[doi:10.3969/j.issn.1005-202X.2015.04.016]
　[J].Chinese Journal of Medical Physics,2015,32(8):525.[doi:10.3969/j.issn.1005-202X.2015.04.016]
[2]张晔,尹亮,祁欣.体外超声震波治疗冠心病的能量传递过程及声场分布[J].中国医学物理学杂志,2015,32(06):826.[doi:doi:10.3969/j.issn.1005-202X.2015.06.014]
　[J].Chinese Journal of Medical Physics,2015,32(8):826.[doi:doi:10.3969/j.issn.1005-202X.2015.06.014]
[3]涂圣贤,田峰,姜永军,等. 血管内光学成像与血流的融合：冠心病介入诊疗评估新技术研制[J].中国医学物理学杂志,2016,33(12):1208.[doi:10.3969/j.issn.1005-202X.2016.12.005]
　[J].Chinese Journal of Medical Physics,2016,33(8):1208.[doi:10.3969/j.issn.1005-202X.2016.12.005]
[4]张爱华,靳冠军. 基于脉搏波传导时间变异性的冠心病识别方法[J].中国医学物理学杂志,2017,34(5):527.[doi:DOI:10.3969/j.issn.1005-202X.2017.05.018]
　[J].Chinese Journal of Medical Physics,2017,34(8):527.[doi:DOI:10.3969/j.issn.1005-202X.2017.05.018]
[5]黄红艳,吴碧君,崔楠,等. 三维斑点追踪成像对不同程度冠状动脉狭窄患者左心室局部功能评价及冠心病诊断价值分析[J].中国医学物理学杂志,2017,34(6):598.[doi:DOI:10.3969/j.issn.1005-202X.2017.06.012]
　[J].Chinese Journal of Medical Physics,2017,34(8):598.[doi:DOI:10.3969/j.issn.1005-202X.2017.06.012]
[6]冯慧,吴钟伟,刘超权.冠心病患者心率变异性指标与冠状动脉病变程度的关系[J].中国医学物理学杂志,2019,36(12):1472.[doi:DOI:10.3969/j.issn.1005-202X.2019.12.021]
　FENG Hui,WU Zhongwei,LIU Chaoquan.Relationship between heart rate variability indexes and severity of coronary artery lesions in patients with coronary heart diseases[J].Chinese Journal of Medical Physics,2019,36(8):1472.[doi:DOI:10.3969/j.issn.1005-202X.2019.12.021]
[7]文翠,赵新军,张震洪,等.冠心病患者心电图ST段改变与多排螺旋CT冠状动脉成像的关系分析[J].中国医学物理学杂志,2020,37(8):1035.[doi:DOI:10.3969/j.issn.1005-202X.2020.08.018]
　WEN Cui,ZHAO Xinjun,ZHANG Zhenhong,et al.Relationships between ECG ST-segment changes and multi-slice spiral CT coronary angiography in patients with coronary heart disease[J].Chinese Journal of Medical Physics,2020,37(8):1035.[doi:DOI:10.3969/j.issn.1005-202X.2020.08.018]
[8]张优,李静,李晖,等.冠脉CT与冠脉造影诊断心肌桥的临床价值比较[J].中国医学物理学杂志,2021,38(4):441.[doi:DOI:10.3969/j.issn.1005-202X.2021.04.009]
　ZHANG You,LI Jing,LI Hui,et al.Comparison of clinical value of coronary CT and coronary angiography in diagnosis of myocardial bridge[J].Chinese Journal of Medical Physics,2021,38(8):441.[doi:DOI:10.3969/j.issn.1005-202X.2021.04.009]
[9]王圣楠,卜荣生,杜静茹,等.CT-FFR参数联合斑块定量技术在心肌缺血再灌注损伤预测中的应用[J].中国医学物理学杂志,2023,40(1):66.[doi:DOI:10.3969/j.issn.1005-202X.2023.01.011]
　WANG Shengnan,BU Rongsheng,DU Jingru,et al.Predictive value of CT-FFR combined with plaque quantification for reperfusion injury in patients with myocardial ischemia[J].Chinese Journal of Medical Physics,2023,40(8):66.[doi:DOI:10.3969/j.issn.1005-202X.2023.01.011]
[10]李瑞平,朱俊杰.基于改进Borderline-Smote-GBDT的冠心病预测[J].中国医学物理学杂志,2023,40(10):1278.[doi:DOI:10.3969/j.issn.1005-202X.2023.10.015]
　LI Ruiping,ZHU Junjie.Coronary heart disease prediction based on improved Borderline-Smote-GBDT[J].Chinese Journal of Medical Physics,2023,40(8):1278.[doi:DOI:10.3969/j.issn.1005-202X.2023.10.015]

备注/Memo

备注/Memo:
【收稿日期】2021-01-24 【基金项目】广西重点实验室建设项目（19-050-39） 【作者简介】李亮，主管技师，研究方向：心电诊断，E-mail: sr1214567@163.com 【通信作者】何涛，E-mail: axj1215@foxmail.com
更新日期/Last Update: 2021-07-30