文档介绍：65例阵发性胸痛患者动态心电图分析
(作者:___________单位: ___________邮编: ___________)
【摘要】目的:探讨阵发性胸痛患者的24小时动态心电图变化情况。方法:对65例阵发性胸痛患者进行24小时心电图连续监测,并详细记录监测时间内的生活及活动情况。结果:65例患者休息、活动时均有ST段压低,但以活动时发作较多,%,%,%。结论:动态心电图是诊断短暂或持续心肌缺血的可靠指征。
【关键词】阵发性胸痛;动态心电图;心律失常;缺血性STT改变
[ABSTRACT] Objective: To analyze the ECG deviations according to 24hour Holter monitoring of patients with paroxysmal chest pain. Methods: 24hour Holter monitoring was examined in 65 patients with paroxysmal chest pain, meanwhile daily activities and exercises were also recorded. Results: ST segment depressions were presented in all cases no matter the patient was at quiet state or motion state, more frequently under the latter circumstance. % patients had coexistence of ST segment depression and tachycardia. Arrhythmia was presented in % cases, of which % were supraventricular premature beats and ventricular premature beats. Conclusion: Holter is a reliable method for diagnosing both transient
and continuous myocardial ischemia.
[KEY WORDS] Paroxysmal chest pain; Holter; Arrhythmia; Ischemic STT segment deviation
胸痛是心脏疾病和肺、胸廓疾病的常见症状,阵发性胸痛为冠心病的主要症状,特别是一过性发作对心肌缺血具有特殊的临床意义,研究表明心肌缺血与老年冠心病患者的预后及猝死存在一定的因果关系。我院自2006年1月~2008年1月对65例阵发性胸痛患者进行24小时动态心电图监测,以观察与临床有关的心电变化。
1 临床资料
一般资料
本组65例阵发性胸痛患者,男性39例,女性26例,年龄40~85岁;其中合并高血压12例,Ⅱ型糖尿病9例,脑梗死5例。
方法
所有患者进行24小时心电图连续监测,并详细记